# NATIONAL MENTOR HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Mentor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811039746
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 13420 PARKER COMMONS BLVD, STE 101, FT MYERS, FL 33912
- **Practice address phone:** (239) 466-2000
- **Practice address fax:** (239) 466-0640
- **Mailing address:** 8290 COLLEGE PKWY, SUITE 202, FORT MYERS, FL 33919-5124
- **Mailing address phone:** (239) 466-2000
- **Mailing address fax:** (239) 466-0640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 03/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 912840900 | — | FL |