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
13420 PARKER COMMONS BLVD, STE 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
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912840900
—
FL
Enumeration date
02/14/2007
Last updated
03/19/2023
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