DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DANIEL MEMORIAL, INC.

MEDICARE: DANIEL MEMORIAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
3323P00000XPsychiatric Residential Treatment Facility
4251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346205861
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL MEMORIAL, INC.
Provider Business Mailing Address
First Line : 4203 SOUTHPOINT BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-6164
Country : US
Telephone Number : 904-296-1055
Fax Number : 904-296-1953
Provider Business Practice Location Address
First Line : 3725 BELFORT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-5813
Country : US
Telephone Number : 904-296-1055
Fax Number : 904-448-7700
Authorized Official
Title or Position : CFO
Name : FELIPE PIA
Credential :
Telephone Number : 904-296-1055
Provider Enumeration Date : 04/18/2006
Last Update Date : 10/08/2019

Similar Medicare Providers

1891328324 — SAMANTHA CARTER
Practice Location Address:
3725 BELFORT RD
JACKSONVILLE, FL
32216-5813
Practice Phone: 904-296-1055
Practice Fax:
1235148149 — MS. CARMELLA MARIA PRESCOTT LMHC
Practice Location Address:
3725 BELFORT RD
JACKSONVILLE, FL
32216-5813
Practice Phone: 904-296-1055
Practice Fax: 904-448-7700
1255340378 — GREGORY A. KAHRS LCSW
Practice Location Address:
3725 BELFORT RD
JACKSONVILLE, FL
32216-5813
Practice Phone: 904-296-1055
Practice Fax: 904-448-7700
1457360323 — MR. ROBIN ROUNDTREE
Practice Location Address:
3725 BELFORT RD.
JACKSONVILLE, FL
32216-5813
Practice Phone: 904-296-1055
Practice Fax: 904-448-7700
1881709954 — LETITIA LYNNETTE SMILEY B.A.
Practice Location Address:
3725 BELFORT RD
JACKSONVILLE, FL
32216-5813
Practice Phone: 904-296-1055
Practice Fax: 904-448-1820
1891852166 — VICTORIA LYNN KELLEY
Practice Location Address:
3725 BELFORT RD
JACKSONVILLE, FL
32216-5813
Practice Phone: 904-296-1055
Practice Fax:

Directions to “DANIEL MEMORIAL, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.