Stacey Mattocks
NPI #1144639899 in Plantation, Florida
Provider Information
- NPI Number
- 1144639899
- Entity Type
- Individual
- Name
- Stacey Mattocks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 7, 2014
- Last Updated
- Aug 7, 2014
Practice Location
- Address
- 6839 NW 15TH ST
- City
- Plantation
- State
- Florida
- ZIP Code
- 33313-5318
- Phone
- (954) 317-3979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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