# NATIONAL MENTOR HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639220619
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 1285 FLAMINGO DR, LANTANA, FL 33462-1507
- **Practice address phone:** (561) 533-0555
- **Mailing address:** 1285 FLAMINGO DRIVE, LANTANA, FL 33462-1507
- **Mailing address phone:** (561) 533-0555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 4023096 | FL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 03/12/2023