DELOIS SHIPP NPI 1427447739

NPI Information

NPI: 1427447739
Provider Name: DELOIS SHIPP
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Individual
Address:
8942 6TH AVE
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 766-1850
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Delois Shipp is a residential treatment facility physical disabilities in Jacksonville, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. Delois Shipp NPI is 1427447739. 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:

8942 6TH AVE
JACKSONVILLE, FL
ZIP 32208-126
Phone: (904) 766-1850

The enumeration date for this NPI number is 1/10/2015 and was last updated on 1/10/2015.

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	320700000X	Residential Treatment Facility, Physical Disabilities		AF33	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	141412700	MEDICAID	FLORIDA

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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