Organization
DANIEL MEMORIAL, INC.
Active
Other names
daniel
Organization subpart
No
Provider details
NPI number
Authorized official
FELIPE PIA (CFO)
(904) 296-1055
Entity
Organization
Contact information
Practice address
3725 BELFORT RD, JACKSONVILLE, FL 32216-5813
(904) 296-1055
(904) 448-7700
Mailing address
4203 SOUTHPOINT BLVD, JACKSONVILLE, FL 32216-6164
(904) 296-1055
(904) 296-1953
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060849100
—
FL
05
—
060849102
—
FL
05
—
060849103
—
FL
05
—
060849116
—
FL
Enumeration date
04/18/2006
Last updated
10/08/2019
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