Warford, Samantha S

Warford, Samantha S is an sole proprietor health care provider with primary practice located at 8071 Beaver Creek Dr , Jacksonville FL 32210-9772. She 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 her primary health care specialty. Warford, Samantha S can be contacted via phone (904) 536-4015.

Contact Information

Primary practice address
8071 Beaver Creek Dr Jacksonville FL 32210-9772
Phone: (904) 536-4015
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1417550781
LBN Legal business name Warford, Samantha S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2020
Last updated Nov 19th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417550781 NPPES
Florida MEDICAID 107979400

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