MATTIE BELL THOMAS NON MEDICAL NPI 1790009157

NPI Information

Mattie Bell Thomas, NON MEDICAL 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. Mattie Bell Thomas, NON MEDICAL NPI is 1790009157. 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:

2220 BELVEDERE ST
JACKSONVILLE, FL
ZIP 32208-152
Phone: (904) 764-0593
Fax: (904) 764-0647

The enumeration date for this NPI number is 3/15/2010 and was last updated on 3/15/2010.

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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