PHALLY LANG (NPI# 1831640929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831640929 |
| Entity Type | Individual |
| Full Name | PHALLY LANG |
| Practice Address |
542 Edgewood Ave S Jacksonville FL 32205-5333 |
| Practice Telephone | 9784951461 |
| Mailing Telephone | 9784951461 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
542 EDGEWOOD AVE S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32205-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
| 1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
| 1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
| 1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
| 1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
| 1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
| 1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
| 1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
| 1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
| Find all providers in zip 32205 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220560 | Tambolina Adult Day Care | Clinic/Center | 1627 Rogero Rd Ste C, Jacksonville, FL 32211-4866 | 2020-09-19 |
| 1649885054 | Tambolina Adult Day Care Center | Clinic/Center | 1627 Rogero Rd # 1627, Jacksonville, FL 32211-4866 | 2020-09-11 |
| 1326542929 | Ganesh Business Group, Lllp | Clinic/Center | 644 Cesery Blvd Ste 106, Jacksonville, FL 32211-7165 | 2018-03-20 |
| 1538556477 | Divine Enterprises, Inc. | Clinic/Center | 1068 Arlington Rd N, Jacksonville, FL 32211-5811 | 2015-04-17 |
| 1518309319 | Martha's Adult Daycare & Services, Inc. | Clinic/Center | 8668 Lem Turner Rd, Jacksonville, FL 32208-2667 | 2013-07-22 |
| 1881039543 | Toney Adult Day Care Inc | Clinic/Center | 4406 Notter Ave, Jacksonville, FL 32206-6336 | 2013-05-07 |
| 1275891178 | Hampton's Luxury Villas Inc | Clinic/Center | 10695 Hampton Rd, Jacksonville, FL 32257-6905 | 2012-04-27 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1881903045 | Add To Life Adult Day Care, Inc. | Clinic/Center | 5877 Old Timuquana Rd, Jacksonville, FL 32210-7888 | 2010-10-05 |
| 1881663466 | Zapa Management Inc | Clinic/Center | 6271-17 St Augustine Rd, Jacksonville, FL 32217 | 2006-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32205 |
Please comment or provide details below to improve the information on PHALLY LANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.