Multi-Dimensional Services & Supports, Inc.

LBN: Multi-Dimensional Services & Supports, Inc.
Multi-Dimensional Services & Supports, Inc. is an health care organization with primary practice located at 2835 Lorimier Ter , Jacksonville FL 32207-4146. 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. Multi-Dimensional Services & Supports, Inc. can be contacted via phone (904) 398-8235, or through Fornof, Martha via phone (904) 398-8235.

Contact Information

Primary practice address
2835 Lorimier Ter Jacksonville FL 32207-4146
Phone: (904) 398-8235
Fax: (904) 398-8235
Website:
Map and Directions
Authorized official contact:
Name: Fornof, Martha
Phone: (904) 398-8235

Health care specialties

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

Profile Details

NPI number 1205132578
LBN Legal business name Multi-Dimensional Services & Supports, Inc.
DBA Doing business as
Authorized official Fornof, Martha
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2011
Last updated Feb 4th, 2011 - about 14 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 1205132578 NPPES
Florida MEDICAID 001263300

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