Individual provider · Type 1 NPI

Phally Lang

Adult Day Care Clinic/Center · Jacksonville, FL

NPI number 1831640929 Active

Practice location

542 Edgewood Ave S
Jacksonville, FL 32205-5333

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

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About NPI 1831640929

Phally Lang's National Provider Identifier is 1831640929, issued on Oct 24, 2016. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 24, 2016.