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SERVICE STRIPED ENTERPRISE LLC NPI 1013595958


NPI Information

NPI: 1013595958
Provider Name: SERVICE STRIPED ENTERPRISE, LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
8876 CUMBRIA CT
JACKSONVILLE, FL
ZIP 32219
Phone: (904) 891-1211
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SERVICE STRIPED ENTERPRISE, LLC is a developmental disabilities clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). SERVICE STRIPED ENTERPRISE, LLC NPI is 1013595958. The provider is registered as an organization entity type.

The provider's business location address is:

8876 CUMBRIA CT
JACKSONVILLE, FL
ZIP 32219-390
Phone: (904) 891-1211

The provider's authorized official is Charles D Harper .
The authorized official title is Owner and has the following contact phone number (904) 891-1211.

The enumeration date for this NPI number is 3/31/2021 and was last updated on 3/31/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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