FLORIDA MENTOR II LLC is an intermediate care facility mentally retarded in Tampa, FL. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. FLORIDA MENTOR II LLC NPI is 1093322794. The provider is registered as an organization entity type.
The provider Is Doing Business As Hillsborough County Developmental Center.
The provider's business location address is:
14219 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33613-913
Phone: (813) 971-3490
Fax: (813) 977-3471
The provider's authorized official is Carol Swanson .
The authorized official title is Vice President Of Operations and has the following contact phone number (813) 389-8300.
The CLIA number assigned to this NPI record is 10D2085720 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 9/26/2020 and was last updated on 11/18/2020.