Phally Lang
Phally Lang is an Adult Day Care Clinic/Center in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
542 Edgewood Ave SJacksonville, FL 32205-5333
Phone: (978) 495-1461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Day Care Clinic/Center (primary) | Taxonomy 261QA0600X |
|---|
Record details
| NPI number | 1831640929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2016 |
| Last updated in NPPES | October 24, 2016 |
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