M&M SUPPORTIVE LIVING SERVICES NPI 1447754478

NPI Information

M&M SUPPORTIVE LIVING SERVICES 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. M&M SUPPORTIVE LIVING SERVICES NPI is 1447754478. The provider is registered as an organization entity type.

The provider's business location address is:

2514 MAYAPPLE RD E
JACKSONVILLE, FL
ZIP 32211-268
Phone: (904) 616-8146

The provider's authorized official is Miranda Nicole Pollard .
The authorized official title is President and has the following contact phone number (904) 616-8146.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 3/23/2018.

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:

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