Therapy Source, Llc in Jacksonville - Day Training, Developmentally Disabled Services
Therapy Source, Llc - NPI 1841337060
Therapy Source, Llc is a Day Training, Developmentally Disabled Services in Jacksonville, Florida. Therapy Source, Llc practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Therapy Source, Llc is 1841337060. The last update date is 2013-07-26.
Therapy Source, Llc's current location address is 3311 Beach Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043961462 and fax number 9043961199. The mailing address for Therapy Source, Llc is 3311 Beach Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Therapy Source, Llc |
|---|---|
| Address | 3311 Beach Blvd, Jacksonville, Florida |
| Phone Number | 9043961462 |
| Fax Number | 9043961199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Driscoll Dianne Susan |
| Telephone Number | 9043961462 |
NPI Number Detail
| NPI Number | 1841337060 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2013-07-26 |
Provider Mailing Address Detail
| Address | 3311 Beach Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322073704 |
| Phone Number | 9043961462 |
| Fax Number | 9043961199 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891337400 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Therapy Source, Llc by the Centers for Medicare & Medicaid Services?
The Therapy Source, Llc has been issued the NPI (National Provider Identifier) 1841337060 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Therapy Source, Llc is located?
The Therapy Source, Llc is situated at the following address: 3311 Beach Blvd, Jacksonville, FL, 322073704.
What is Therapy Source, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Therapy Source, Llc's area of specialization is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this field of practice is 251C00000X.
On what date did Therapy Source, Llc receive its 1841337060 assignment from the Centers for Medicare & Medicaid Services?
The Therapy Source, Llc was assigned its 1841337060 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Therapy Source, Llc's information last updated?
The Therapy Source, Llc's information was last updated on 2013-07-26.