Organization
THE MENTOR 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
1725 FIFTH ST, DAYTONA BEACH, FL 32117-5107
(386) 274-4172
(386) 274-7629
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
4021095
FL
Other
Enumeration date
10/25/2012
Last updated
03/19/2023
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