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Salem Villages Mrdd, Inc
Intellectual Disabilities Intermediate Care Facility in Starke, Florida
NPI 1750440236

Salem Villages Mrdd, Inc is a Intellectual Disabilities Intermediate Care Facility based in Louisville, FL. Salem Villages Mrdd, Inc practices in Starke, FL. The NPI Number for Salem Villages Mrdd, Inc is 1750440236 and holds a License No. (Florida).

The current practice location address for Salem Villages Mrdd, Inc is 102 Alexander Rd, Starke, FL and can be reached out via phone at 352-372-0130.

Location: 102 Alexander Rd, Starke, FL, 40223-3813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750440236
Provider Name
Salem Villages Mrdd, Inc
Credential
Provider Entity Type
Organization
Address
102 Alexander Rd, Starke, FL, 40223-3813
Phone Number
352-372-0130
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028060700 05 FL
institution
Provider Business Practice Location Address Details
Address
102 Alexander Rd
City
Starke
State
Florida
Zip
32091-4521
Phone Number
352-372-0130
Fax Number
person
Provider Business Mailing Address Details
Address
102 Alexander Rd
City
Starke
State
Florida
Zip
32091-4521
Phone Number
352-372-0130
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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