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Contact Information

STALLWORTH COMMUNITY SERVICES INC
304 26TH AVENUE EAST
BRADENTON, FL34208
 Phone: 941-536-4449
 Fax: 941-355-8699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for STALLWORTH COMMUNITY SERVICES INC

NPI Number 1265690366
LBN Legal business name STALLWORTH COMMUNITY SERVICES INC
Authorized official JANELL STALLWORTH - (PRESIDENT EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2008
Last updated 05/27/2008 - About 18 years ago
Identifiers
FL Medicaid 690209096
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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