Organization
NATIONAL MENTOR HEALTHCARE NETWORK
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
5808 KINKAID RD, JACKSONVILLE, FL 32244-1034
(904) 777-0460
(904) 778-9293
Mailing address
5808 KINKAID RD, JACKSONVILLE, FL 32244-1034
(904) 777-0460
(904) 778-9293
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
4037095
FL
Other
Enumeration date
01/25/2007
Last updated
03/12/2023
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