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Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
Indiana MENTOR Adult Foster Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
210 FOX ORCHARD RUN, FORT WAYNE, IN 46825-6579
(317) 581-2380
Mailing address
8925 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-2386
(317) 581-2380
(317) 581-2378
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
12/01/2011
Last updated
03/19/2023
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