ALF 8860 ADRD TRAINING PROVIDER LLC. NPI 1013572304

NPI Information

NPI: 1013572304
Provider Name: ALF 8860 ADRD TRAINING PROVIDER LLC.
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
7990 BAYMEADOWS RD E UNIT 1001
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 379-7359
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ALF 8860 ADRD TRAINING PROVIDER LLC. is an intellectual and developmental disabilities in Jacksonville, FL. ALF 8860 ADRD TRAINING PROVIDER LLC. NPI is 1013572304. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7990 BAYMEADOWS RD E UNIT 1001
JACKSONVILLE, FL
ZIP 32256-977
Phone: (904) 379-7359
Fax: (904) 379-7359

The provider's authorized official is Erica Kay Evans .
The authorized official title is Administrator and has the following contact phone number (904) 379-7359.

The enumeration date for this NPI number is 5/2/2019 and was last updated on 5/2/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			Yes

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: 4/28/2024

NPI Synchronization or Removal

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