Marjorie G. Cupp
Marjorie G. Cupp is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.
- Licensed in
- FL
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
1545 Parkwood StJacksonville, FL 32207-5476
Phone: (904) 858-9740
Fax: (904) 733-2681
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (FL) |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X (FL) |
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X (FL) |
Record details
| NPI number | 1649426065 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marjorie Cupp — Provider · (904) 858-9740 |
| NPI enumerated | August 18, 2008 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 1545 Parkwood St, Jacksonville, FL 32207-5476 |
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