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
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32210-6353
- Phone
- (904) 703-0451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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