Quality Life Center Of Jacksonville

LBN: Marlyn Enterprises Of Jacksonville, Inc.
Quality Life Center Of Jacksonville is an health care organization with primary practice located at 11265 Alumni Way , Jacksonville FL 32246-6685. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Marlyn Enterprises Of Jacksonville, Inc. can be contacted via phone (904) 398-2020, or through Ulerie, Mark A via phone (904) 398-2020.

Contact Information

Primary practice address
11265 Alumni Way Jacksonville FL 32246-6685
Phone: (904) 398-2020
Fax: (904) 724-2172
Website:
Map and Directions
Authorized official contact:
Name: Ulerie, Mark A
Phone: (904) 398-2020

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1154430197
LBN Legal business name Marlyn Enterprises Of Jacksonville, Inc.
DBA Doing business as Quality Life Center Of Jacksonville
Authorized official Ulerie, Mark A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 16th, 2021 - about 3 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 1154430197 NPPES
Florida MEDICAID 678170596

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