Organization
STALLWORTH COMMUNITY SERVICES INC
Active
Other names
Successful Development Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELL LATRICE STALLWORTH MA (PRESIDENT EXECUTIVE DIRECTOR)
(941) 536-4449
Entity
Organization
Contact information
Practice address
304 26TH AVENUE EAST, BRADENTON, FL 34208
(941) 536-4449
(941) 355-8699
Mailing address
PO BOX 57, TALLEVAST, FL 34270
(941) 536-4449
(941) 355-8699
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690209096
—
FL
Enumeration date
05/27/2008
Last updated
05/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us