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Salem Villages Mrdd, Inc.
Intellectual Disabilities Intermediate Care Facility in Jacksonville, Florida
NPI 1861560385

Salem Villages Mrdd, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Louisville, FL. Salem Villages Mrdd, Inc. practices in Jacksonville, FL. The NPI Number for Salem Villages Mrdd, Inc. is 1861560385 and holds a License No. (Florida).

The current practice location address for Salem Villages Mrdd, Inc. is 4748 Tunis St, Jacksonville, FL and can be reached out via phone at 352-372-0130.

Location: 4748 Tunis St, Jacksonville, FL, 40223-3813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861560385
Provider Name
Salem Villages Mrdd, Inc.
Credential
Provider Entity Type
Organization
Address
4748 Tunis St, Jacksonville, FL, 40223-3813
Phone Number
352-372-0130
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028563300 05 FL
institution
Provider Business Practice Location Address Details
Address
4748 Tunis St
City
Jacksonville
State
Florida
Zip
32205-7379
Phone Number
352-372-0130
Fax Number
person
Provider Business Mailing Address Details
Address
4748 Tunis St
City
Jacksonville
State
Florida
Zip
32205-7379
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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