Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Mattocks

Individual provider Assisted Living Facility · NPI 1144639899

Stacey Mattocks is an Assisted Living Facility in Plantation, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
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Practice location Address checks out

6839 NW 15th St
Plantation, FL 33313-5318
Phone: (954) 317-3979
Fax: (954) 317-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL12547 (FL)

Record details

NPI number1144639899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2014
Last updated in NPPESAugust 7, 2014

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