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Organization
FLORIDA MENTOR II LLC
Active
Organization
FLORIDA MENTOR II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP& SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
95 SQUIRE CT, DUNEDIN, FL 34698-8346
(800) 388-5150
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(800) 388-5150
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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