MARY IMHANSIEMHONEHI NPI 1235786856

NPI Information

NPI: 1235786856
Provider Name: MARY IMHANSIEMHONEHI
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
4568 ANTLER HILL DR E
JACKSONVILLE, FL
ZIP 32224
Phone: (386) 265-8778
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Mary Imhansiemhonehi is a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Mary Imhansiemhonehi NPI is 1235786856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4568 ANTLER HILL DR E
JACKSONVILLE, FL
ZIP 32224-704
Phone: (386) 265-8778

The enumeration date for this NPI number is 8/19/2019 and was last updated on 8/19/2019.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or 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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