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Organization
STALWART COMMUNITY SUPPORT SVS, INC.
Active
Organization
STALWART COMMUNITY SUPPORT SVS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI JEAN MARSHALL RN (DIRECTOR)
(786) 227-3133
Entity
Organization
Contact information
Practice address
12414 SW 220TH ST, MIAMI, FL 33170-2872
(786) 227-3133
Mailing address
12414 SW 220TH ST, MIAMI, FL 33170-2872
(786) 227-3133
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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