PHALLY LANG
NPI 1831640929
Clinic/Center - Adult Day Care in Jacksonville, FL

Active since October 24, 2016
542 EDGEWOOD AVE S, JACKSONVILLE, FL 32205(978) 495-1461 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phally Lang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHALLY LANG (NPI 1831640929) is an individual adult day care provider in Jacksonville, Florida and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1831640929
Entity TypeIndividualMale
Primary Taxonomy261QA0600X
Provider Legal NamePHALLY LANG
Location Address542 EDGEWOOD AVE SJacksonville, FL 32205-5333
Mailing Address542 Edgewood Ave SJacksonville, FL 32205-5333 · (978) 495-1461
Sole ProprietorYes
Enumeration DateOctober 24, 2016
NPI 1831640929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
542 EDGEWOOD AVE S, Jacksonville, FL 32205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phally Lang's NPI number?

The NPI number for Phally Lang is 1831640929. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Phally Lang located?

Phally Lang practices at 542 Edgewood Ave S, Jacksonville, FL 32205. The listed phone number is (978) 495-1461.

What is Phally Lang's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Phally Lang was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.