Organization
MARION PROVIDER CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BELLISSIA MARION PANDY M.S. (OWNER/MANAGER)
(904) 537-5718
Entity
Organization
Contact information
Practice address
1010 E ADAMS ST, SUITE 105, JACKSONVILLE, FL 32202-1902
(904) 379-1528
(904) 212-0615
Mailing address
1010 E ADAMS ST, SUITE 105, JACKSONVILLE, FL 32202-1902
(904) 379-1528
(904) 212-0615
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687986196
—
FL
05
—
687986198
—
FL
Enumeration date
06/24/2008
Last updated
06/24/2008
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