M&D Residential Services, Inc

LBN: M&D Residential Services, Inc
M&D Residential Services, Inc is an health care organization with primary practice located at 2556 Sw Monterrey Ln , Port St Lucie FL 34953-2956. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. M&D Residential Services, Inc can be contacted via phone (772) 807-1205, or through Reynolds, Densil A via phone (772) 807-1250.

Contact Information

Primary practice address
2556 Sw Monterrey Ln Port St Lucie FL 34953-2956
Phone: (772) 807-1205
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Densil A
Phone: (772) 807-1250

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 151446 Florida

Profile Details

NPI number 1821399890
LBN Legal business name M&D Residential Services, Inc
DBA Doing business as
Authorized official Reynolds, Densil A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2010
Last updated Nov 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821399890 NPPES
Florida MEDICAID 686560796

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