Organization
NATIONAL MENTOR HEALTH CARE, LLC
Active
Other names
REM Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
3838 N CENTRAL AVE STE 1200, PHOENIX, AZ 85012-1997
(480) 646-6175
(617) 790-4271
Mailing address
3838 N CENTRAL AVE STE 1200, PHOENIX, AZ 85012-1997
(480) 646-6175
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
959968
—
AZ
Enumeration date
08/11/2006
Last updated
05/14/2023
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