NATIONAL MENTOR HEATLTHCARE, LLC is an intermediate care facility mentally retarded in Panama City, 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. NATIONAL MENTOR HEATLTHCARE, LLC NPI is 1104238773. The provider is registered as an organization entity type.
The provider Is Doing Business As Florida Mentor.
The provider's business location address is:
1204 W 13TH ST
PANAMA CITY, FL
ZIP 32401-015
Phone: (850) 785-0605
The provider's authorized official is Jon Fisher .
The authorized official title is Senior Executive Director and has the following contact phone number (352) 588-0149.
The CLIA number assigned to this NPI record is 10D2086854 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/29/2014 and was last updated on 5/29/2014.