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MT. MORIAH UNITED METHODIST CHURCH INC NPI 1366770133


NPI Information

NPI: 1366770133
Provider Name: MT. MORIAH UNITED METHODIST CHURCH, INC

Other Name: MT. MORIAH ADULT DAYCARE

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
3919 SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 396-6918
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MT. MORIAH UNITED METHODIST CHURCH, INC is an adult care home custodial care facility in Jacksonville, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MT. MORIAH UNITED METHODIST CHURCH, INC NPI is 1366770133. The provider is registered as an organization entity type.
The provider Other Name Is Mt. Moriah Adult Daycare.

The provider's business location address is:

3919 SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32207-638
Phone: (904) 396-6918
Fax: (904) 396-1444

The provider's authorized official is Deloris Demps .
The authorized official title is Administrator and has the following contact phone number (904) 396-6918.

The enumeration date for this NPI number is 12/6/2009 and was last updated on 12/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care Home9038FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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