Individual provider · Type 1 NPI
Stacey Mattocks
Assisted Living Facility · Plantation, FL
NPI number
1144639899
Active
Practice location
6839 NW 15th St
Plantation, FL 33313-5318
Fax (954) 317-3331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL12547 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
Other assisted living facility providers in Plantation
About NPI 1144639899
Stacey Mattocks's National Provider Identifier is 1144639899, issued on Aug 7, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Plantation, FL. The record was last updated on Aug 7, 2014.