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Marjorie G. Cupp
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1649426065

Marjorie G. Cupp is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Marjorie G. Cupp practices in Jacksonville, FL. The NPI Number for Marjorie G. Cupp is 1649426065 and holds a License No. (Florida).

The current practice location address for Marjorie G. Cupp is 1545 Parkwood St, Jacksonville, FL and can be reached out via phone at 904-858-9740 and via fax at 904-733-2681.

Location: 1545 Parkwood St, Jacksonville, FL, 32207-5476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649426065
Provider Name
Marjorie G. Cupp
Credential
Provider Entity Type
Organization
Address
1545 Parkwood St, Jacksonville, FL, 32207-5476
Phone Number
904-858-9740
Fax Number
904-733-2681
Provider Enumeration Date
08/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1545 Parkwood St
City
Jacksonville
State
Florida
Zip
32207-5476
Phone Number
904-858-9740
Fax Number
904-733-2681
person
Provider Business Mailing Address Details
Address
1545 Parkwood St
City
Jacksonville
State
Florida
Zip
32207-5476
Phone Number
904-858-9740
Fax Number
904-733-2681
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
(Florida)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Florida)
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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