Carole Stallworth

NPI #1144784638 in Jacksonville, Florida

Provider Information

NPI Number
1144784638
Entity Type
Individual
Name
Carole Stallworth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 29, 2019
Last Updated
Jan 29, 2019

Practice Location

Address
5116 MCMANUS DR
State
Florida
ZIP Code
32210-6353
Phone
(904) 703-0451

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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