| Marlyn Enterprises Of Jacksonville, Inc. | |
|
179 Wells Rd Orange Park FL 32073-3057 | |
| (904) 579-4614 | |
| (904) 724-2174 |
| Full Name | Marlyn Enterprises Of Jacksonville, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 179 Wells Rd, Orange Park, Florida |
| Authorized Official Name and Position | Mark Ulerie (CEO) |
| Authorized Official Contact | 9043982020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlyn Enterprises Of Jacksonville, Inc. 11265 Alumni Way Jacksonville FL 32246-7630 Ph: (904) 398-2020 | Marlyn Enterprises Of Jacksonville, Inc. 179 Wells Rd Orange Park FL 32073-3057 Ph: (904) 579-4614 |
| NPI Number | 1952074510 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952074510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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