1417494485 EISENHOWER JACKSONVILLE GROUP LLC
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- EISENHOWER JACKSONVILLE GROUP LLC
- Enumeration Date
- January 27, 2017
- Last Update
- September 28, 2021
- Authorized Official
- MR. ANN PENDLEY MSN
PRESIDENT
Phone: (734) 677-0070
Practice Location
- Address
- 2671 HUFFMAN BLVD
JACKSONVILLE, FL 322464056 - Phone
- (734) 677-0070
- Fax
- (734) 677-0890
Mailing Address
- Address
- 2671 HUFFMAN BLVD
JACKSONVILLE, FL 322464056 - Phone
- (734) 677-0070
- Fax
- (734) 677-0890
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Brain Injury Medicine | 2081P0301X | Physical Medicine & Rehabilitation | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Physical Disabilities Residential Treatment Facility | 320700000X | Residential Treatment Facility, Physical Disabilities | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Psychiatric Residential Treatment Facility | 323P00000X | Psychiatric Residential Treatment Facility | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558544130 | 01 | FL | TRANSITIONAL LIVING FACILITY |
Frequently Asked Questions
What is EISENHOWER JACKSONVILLE GROUP LLC's NPI number?
EISENHOWER JACKSONVILLE GROUP LLC's NPI number is 1417494485.
Which doctor has NPI number 1417494485?
The doctor with NPI number 1417494485 is EISENHOWER JACKSONVILLE GROUP LLC.
What is EISENHOWER JACKSONVILLE GROUP LLC's practice address?
EISENHOWER JACKSONVILLE GROUP LLC's practice address is 2671 HUFFMAN BLVD, JACKSONVILLE, FL, 322464056.
Which doctor practices at 2671 HUFFMAN BLVD, JACKSONVILLE, FL, 322464056?
EISENHOWER JACKSONVILLE GROUP LLC practices at 2671 HUFFMAN BLVD, JACKSONVILLE, FL, 322464056.
What is EISENHOWER JACKSONVILLE GROUP LLC's phone number?
EISENHOWER JACKSONVILLE GROUP LLC's phone number is (734) 677-0070.
Who is (734) 677-0070?
(734) 677-0070 is the phone number for EISENHOWER JACKSONVILLE GROUP LLC.
What is EISENHOWER JACKSONVILLE GROUP LLC's specialty?
EISENHOWER JACKSONVILLE GROUP LLC's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is EISENHOWER JACKSONVILLE GROUP LLC?
EISENHOWER JACKSONVILLE GROUP LLC is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is EISENHOWER JACKSONVILLE GROUP LLC a Mental Health (Including Community Mental Health Center)?
Yes, EISENHOWER JACKSONVILLE GROUP LLC is a Mental Health (Including Community Mental Health Center).
Is EISENHOWER JACKSONVILLE GROUP LLC still practicing?
Yes, EISENHOWER JACKSONVILLE GROUP LLC is currently practicing.
Is EISENHOWER JACKSONVILLE GROUP LLC accepting new patients?
EISENHOWER JACKSONVILLE GROUP LLC may be accepting new patients. Please call their office at (734) 677-0070 to inquire about availability.
Is NPI 1417494485 still active?
Yes, NPI 1417494485 is currently active.
Where does EISENHOWER JACKSONVILLE GROUP LLC practice?
EISENHOWER JACKSONVILLE GROUP LLC practices in JACKSONVILLE, FL.