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Stacey Daniels
Assisted Living Facility in Madison, Florida
NPI 1184262164

Stacey Daniels is an Assisted Living Facility based in Madison, FL. Stacey Daniels practices in Madison, FL. The NPI Number for Stacey Daniels is 1184262164 and holds a License No. AL13219 (Florida).

The current practice location address for Stacey Daniels is 183 Se Columbus Trl, Madison, FL and can be reached out via phone at 850-464-9617.

Location: 183 Se Columbus Trl, Madison, FL, 32340-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184262164
Provider Name
Stacey Daniels
Credential
Provider Entity Type
Individual
Gender
Female
Address
183 Se Columbus Trl, Madison, FL, 32340-3100
Phone Number
850-464-9617
Fax Number
Provider Enumeration Date
12/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100933600 05 FL
institution
Provider Business Practice Location Address Details
Address
183 Se Columbus Trl
City
Madison
State
Florida
Zip
32340-3100
Phone Number
850-464-9617
Fax Number
person
Provider Business Mailing Address Details
Address
183 Se Columbus Trl
City
Madison
State
Florida
Zip
32340-3100
Phone Number
850-464-9617
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL13219 (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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