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Organization

NATIONAL MENTOR HEALTHCARE

Active
Other names
Florida MENTOR
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JON FISHER (STATE DIRECTOR)
(941) 955-2593
Entity
Organization

Contact information

Practice address
2055 WOOD ST, SUITE 118, SARASOTA, FL 34237-7903
(941) 955-2593
(941) 955-2684
Mailing address
2055 WOOD ST, SUITE 118, SARASOTA, FL 34237-7903
(941) 955-2593
(941) 955-2684

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ISW5663
FL

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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