Mary Imhansiemhonehi
Mary Imhansiemhonehi is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
4568 Antler Hill Dr EJacksonville, FL 32224-8704
Phone: (386) 265-8778
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1235786856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 19, 2019 |
| Last updated in NPPES | August 19, 2019 |
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