Doctor Name: | MRS. STERELLA ABDUL |
NPI Number: | 1386040897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | J.D. |
License Number: | 12508 |
Business Practice Address: | 3973 Lubec Ave North Port, FL - 342875131 |
Business Phone Number: | 8133682742 |
Business Fax Number: | |
Mailing Address: | 3973 Lubec Ave, NORTH PORT |
State: | FL |
Postal Code: | 342875131 |
Phone Number: | 8133682742 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 12508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |