Organization
ANGELA STALLING
Active
Other names
Angie's Special Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA S STALLINGS (OWNER)
(772) 777-0367
Entity
Organization
Contact information
Practice address
473 NW SELVITZ RD, PORT ST LUCIE, FL 34983-1033
(772) 777-0367
Mailing address
473 NW SELVITZ RD, PORT ST LUCIE, FL 34983-1033
(772) 777-0367
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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