NATIONAL MENTOR HEALTHCARE NETWORK NPI 1366598484

NPI Information

NATIONAL MENTOR HEALTHCARE NETWORK is an intermediate care facility mental illness in Jacksonville, FL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. NATIONAL MENTOR HEALTHCARE NETWORK NPI is 1366598484. The provider is registered as an organization entity type.
The provider Is Doing Business As Florida Mentor.

The provider's business location address is:

5808 KINKAID RD
JACKSONVILLE, FL
ZIP 32244-034
Phone: (904) 777-0460
Fax: (904) 778-9293

The provider's authorized official is Brett Ian Cohen .
The authorized official title is Coo and has the following contact phone number (800) 388-5150.

The CLIA number assigned to this NPI record is 10D0022925 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 3/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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