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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHALLY LANG

Active Sole Proprietor

PHALLY LANG is a Adult Day Care Facility healthcare provider located in JACKSONVILLE, Florida. NPI 1831640929 is currently active in the NPPES registry. Verify at CMS.

Adult Day Care Facility · JACKSONVILLE, FL

Registration Details

NPI Number
1831640929
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2016 (9.8369533633045 yrs)
Last Updated
Oct 24, 2016
Sole Proprietor
Yes

Practice Information

Address
542 EDGEWOOD AVE S
JACKSONVILLE, FL, 322055333
Browse FL providers · Browse ZIP 32205
Phone
9784951461
Primary Specialty
Adult Day Care Facility
261QA0600X

Other Adult Day Care Facility Providers in JACKSONVILLE, FL

Name Credential NPI
JOANNA COLLINS RN 1932888682
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.