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Phally Lang
Adult Day Care Clinic/Center in Jacksonville, Florida
NPI 1831640929

Phally Lang is an Adult Day Care Clinic/Center based in Jacksonville, FL and is specialized in Adult Day Care. Phally Lang practices in Jacksonville, FL. The NPI Number for Phally Lang is 1831640929 and holds a License No. (Florida).

The current practice location address for Phally Lang is 542 Edgewood Ave S, Jacksonville, FL and can be reached out via phone at 978-495-1461. You can also correspond with Phally Lang through the mailing address at 542 EDGEWOOD AVE S, JACKSONVILLE, FL - 32205-5333 (mailing address contact number: 978-495-1461).

Location: 542 Edgewood Ave S, Jacksonville, FL, 32205-5333
person
Provider Profile Details
NPI Number
1831640929
Provider Name
Phally Lang
Credential
Provider Entity Type
Individual
Gender
Male
Address
542 Edgewood Ave S, Jacksonville, FL, 32205-5333
Phone Number
978-495-1461
Fax Number
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
542 Edgewood Ave S
City
State
Zip
32205-5333
Phone Number
978-495-1461
Fax Number
person
Provider Business Mailing Address Details
Address
542 Edgewood Ave S
City
State
Zip
32205-5333
Phone Number
978-495-1461
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
()
Definition
Definition to come...
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