Organization
MYMATHMENTORS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLETTA BAKER (CEO)
(904) 321-9360
Entity
Organization
Contact information
Practice address
303 N LAURA ST, JACKSONVILLE, FL 32202-3505
(904) 321-9360
Mailing address
PO BOX 40201, JACKSONVILLE, FL 32203-0201
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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