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Stoney Mae Empowerment House Florida

Community/Behavioral Health in Sanford, FL. Organization (NPI-2).

NPI number1124685342
StatusActive
Last updated in NPPESFeb 1, 2020

Details

NPI
1124685342
Entity type
Organization (NPI-2)
Legal business name
Stoney Mae Empowerment House Florida
Organization subpart
No
Enumeration date
May 22, 2019
Certification date
Feb 1, 2020
Last updated
Feb 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

5724 Byron Anthony Pl Apt 146
Sanford, FL 32771-8627

Phone 215-796-7157

Mailing address

1019 Bullock Ave Apt C
Yeadon, PA 19050-3826

Authorized official

Ramona Humbert
Manager
2157967157

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