Stallworth, Carole

Stallworth, Carole is an sole proprietor health care provider with primary practice located at 5116 Mcmanus Dr , Jacksonville FL 32210-6353. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Stallworth, Carole can be contacted via phone (904) 703-0451.

Contact Information

Primary practice address
5116 Mcmanus Dr Jacksonville FL 32210-6353
Phone: (904) 703-0451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1144784638
LBN Legal business name Stallworth, Carole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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