Marjorie G. Cupp in Jacksonville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Marjorie G. Cupp - NPI 1649426065

Marjorie G. Cupp is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, Florida. Marjorie G. Cupp practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Marjorie G. Cupp is 1649426065. The last update date is 2022-07-21.

Marjorie G. Cupp's current location address is 1545 Parkwood St, Jacksonville, Florida. You can contact this provider via phone number 9048589740 and fax number 9047332681. The mailing address for Marjorie G. Cupp is 1545 Parkwood St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Marjorie G. Cupp
Address 1545 Parkwood St, Jacksonville, Florida
Phone Number 9048589740
Fax Number 9047332681
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROVIDER
Authorized Official Name Cupp G. Marjorie
Telephone Number 9048589740

NPI Number Detail

NPI Number 1649426065
Provider Enumeration Date 2008-08-18
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1545 Parkwood St
City Jacksonville
State Florida (FL)
Post Code 322075476
Phone Number 9048589740
Fax Number 9047332681

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Marjorie G. Cupp

What is the Marjorie G. Cupp's unique identification number?

The Marjorie G. Cupp has been assigned the NPI (National Provider Identifier) Number 1649426065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Marjorie G. Cupp is geographically located?

The Marjorie G. Cupp is physically situated at the following location: 1545 Parkwood St, Jacksonville, FL, 322075476.

What is Marjorie G. Cupp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Marjorie G. Cupp's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.

On what date did the Marjorie G. Cupp receive its 1649426065 assignment from the Centers for Medicare & Medicaid Services?

The Marjorie G. Cupp was assigned its 1649426065 by the Centers for Medicare & Medicaid Services on 2008-08-18.

As of what date was the information pertaining to Marjorie G. Cupp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Marjorie G. Cupp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.

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