Scruggs, Marvina
Scruggs, Marvina is an sole proprietor health care provider with primary practice located at 379 E 47Th St , Jacksonville FL 32208-5463. She recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Adult Companion, Ambulatory Health Care Facilities / Developmental Disabilities, Nursing Service Related Providers / Home Health Aide, Respite Care Facility / Respite Care. Ambulatory Health Care Facilities / Developmental Disabilities is her primary health care specialty. Scruggs, Marvina can be contacted via phone (904) 726-7970.Contact Information
Primary practice address
379 E 47Th St
Jacksonville FL 32208-5463
Phone: (904) 726-7970
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Home Health | 251E00000X | ||
Nursing Service Related Providers / Adult Companion | 372600000X | 235397 | Florida |
Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
Respite Care Facility / Respite Care | 385H00000X |
Profile Details
NPI number | 1609343474 |
---|---|
LBN Legal business name | Scruggs, Marvina |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 30th, 2018 |
Last updated | Dec 27th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609343474 | NPPES |
Florida | Other | 81-1835965 | IRS |
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