NPI 1790009157

Mattie Bell Thomas, NONMEDICAL

Practitioner Physical Disabilities Residential Treatment Facility Jacksonville, FL

Practice location

Address: 2220 Belvedere St, Jacksonville, FL 32208-2152
Phone: (904) 764-0593
Fax: (904) 764-0647

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 320700000X (FL)

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1790009157
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2010
Record last updated: 15 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.