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Stacey Mattocks
Assisted Living Facility in Plantation, Florida
NPI 1144639899

Stacey Mattocks is an Assisted Living Facility based in Plantation, FL. Stacey Mattocks practices in Plantation, FL. The NPI Number for Stacey Mattocks is 1144639899 and holds a License No. AL12547 (Florida).

The current practice location address for Stacey Mattocks is 6839 Nw 15Th St, Plantation, FL and can be reached out via phone at 954-317-3979 and via fax at 954-317-3331. You can also correspond with Stacey Mattocks through the mailing address at 6839 NW 15TH ST, PLANTATION, FL - 33313-5318 (mailing address contact number: 954-317-3979).

Location: 6839 Nw 15Th St, Plantation, FL, 33313-5318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144639899
Provider Name
Stacey Mattocks
Credential
Provider Entity Type
Individual
Gender
Female
Address
6839 Nw 15Th St, Plantation, FL, 33313-5318
Phone Number
954-317-3979
Fax Number
954-317-3331
Provider Enumeration Date
08/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6839 Nw 15Th St
City
Plantation
State
Florida
Zip
33313-5318
Phone Number
954-317-3979
Fax Number
954-317-3331
person
Provider Business Mailing Address Details
Address
6839 Nw 15Th St
City
Plantation
State
Florida
Zip
33313-5318
Phone Number
954-317-3979
Fax Number
954-317-3331
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL12547 (Florida)
Definition
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.
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