Organization
NATIONAL MENTOR HEALTHCARE 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
13420 PARKER COMMONS BLVD, SUITE 101, FT MYERS, FL 33912
(239) 466-2000
(239) 466-0640
Mailing address
8290 COLLEGE PKWY, SUITE 202, FORT MYERS, FL 33919-5124
(239) 466-2000
(239) 466-0640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075710100
—
FL
Enumeration date
03/26/2007
Last updated
03/12/2023
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