MEDICARE: A .L. PANTAGES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	AD8854	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487893095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A .L. PANTAGES INC.

Provider Business Mailing Address
First Line	:	1321 RIDGEWOOD AVE
Second Line	:
City	:	HOLLY HILL
State	:	FL
Zip	:	32117-2319
Country	:	US
Telephone Number	:	386-673-3255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 RIDGEWOOD AVE
Second Line	:
City	:	HOLLY HILL
State	:	FL
Zip	:	32117-2319
Country	:	US
Telephone Number	:	386-673-3255
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. AMY LOU PANTAGES
Credential	:
Telephone Number	:	386-673-3255

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	02/05/2009

Similar Medicare Providers

1326037581 — MS. JENNIFER HANNA FARRIOR MS
Practice Location Address:

431 W FRANKLIN ST , SUITE 24
CHAPEL HILL, NC
27516-2319

Practice Phone: 919-960-8118
Practice Fax: 919-960-7745

1710353057 — MISS VALERIE J ROSEN LCSW
Practice Location Address:

32 ANDERSON HILL RD
BERNARDSVILLE, NJ
07924-2319

Practice Phone: 908-380-8238
Practice Fax: 908-636-2581

1255704326 — KELSEY HIGGINS MS, RD, LD, CNSC
Practice Location Address:

417 HILL RD
NASHVILLE, TN
37220-2319

Practice Phone: 740-641-8821
Practice Fax:

1306384888 — COMPREHENSIVE CONSULTING
Practice Location Address:

1704 WINTERS HILL CIR
NORTH CHESTERFIELD, VA
23236-2319

Practice Phone: 804-922-9548
Practice Fax:

1245778729 — VIRGINIA COUNSELING SERVICE, LLC
Practice Location Address:

1704 WINTERS HILL CIR
NORTH CHESTERFIELD, VA
23236-2319

Practice Phone: 804-922-9548
Practice Fax:

1457829632 — HOPE BEHAVIORAL SERVICES AT THE JEANNINE BRENT CENTER INCORPORATED
Practice Location Address:

2319 PLAINFIELD RD
CREST HILL, IL
60403-1875

Practice Phone: 815-260-7203
Practice Fax: 844-270-2128

Directions to “A .L. PANTAGES INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.