Organization
NATIONAL MENTOR HEALTH CARE LLC
Active
Other names
Florida Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
3200 SW 34TH AVE, BUILDING 200 #203, OCALA, FL 34474-7456
(352) 624-2197
(239) 352-6242
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075741100
—
FL
Enumeration date
03/26/2007
Last updated
03/04/2023
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