| Marylois Altmann, Inc | |
|
218 Se Osceola St Stuart FL 34994-2211 | |
| (617) 797-6642 | |
| Not Available |
| Full Name | Marylois Altmann, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 218 Se Osceola St, Stuart, Florida |
| Authorized Official Name and Position | Marylois P Altmann (PRESIDENT) |
| Authorized Official Contact | 6177976642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marylois Altmann, Inc 2718 Sw Mariposa Cir Palm City FL 34990-6064 Ph: (617) 797-6642 | Marylois Altmann, Inc 218 Se Osceola St Stuart FL 34994-2211 Ph: (617) 797-6642 |
| NPI Number | 1457025553 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 9537567037 |
|---|---|
| Medicare Enrollment ID | O20211014000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457025553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marylois P Altmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154994804 PECOS PAC ID: 0446658942 Enrollment ID: I20211014001103 |
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