Organization
NATIONAL MENTOR HEALTHCARE
Active
Other names
Arizona Mentor
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
15032 N 37TH AVE, PHOENIX, AZ 85053
(602) 567-4971
(602) 277-0803
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
ALH-6684
AZ
Other
Enumeration date
07/10/2008
Last updated
08/21/2025
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