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MARY IMHANSIEMHONEHI
NPI 1235786856
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since August 19, 2019
4568 ANTLER HILL DR E, JACKSONVILLE, FL 32224(386) 265-8778 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Imhansiemhonehi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY IMHANSIEMHONEHI (NPI 1235786856) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, Florida and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1235786856
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameMARY IMHANSIEMHONEHI
Location Address4568 ANTLER HILL DR EJacksonville, FL 32224-8704
Mailing Address4568 Antler Hill Dr EJacksonville, FL 32224-8704 · (386) 265-8778
Phone(386) 265-8778
Sole ProprietorYes
Enumeration DateAugust 19, 2019
✔ NPI 1235786856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

4568 ANTLER HILL DR E, Jacksonville, FL 32224
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Imhansiemhonehi's NPI number?

The NPI number for Mary Imhansiemhonehi is 1235786856. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Mary Imhansiemhonehi located?

Mary Imhansiemhonehi practices at 4568 Antler Hill Dr E, Jacksonville, FL 32224. The listed phone number is (386) 265-8778.

What is Mary Imhansiemhonehi's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Mary Imhansiemhonehi was last updated on August 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.