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 SUITE 203, OCALA, FL 34474-7456
(352) 624-2137
(352) 624-2136
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
—
766154100
—
FL
Enumeration date
02/14/2007
Last updated
03/19/2023
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