National Mentor Healthcare Network

NPI Registration Record

Provider / Organization	NPI	Date Certified
NATIONAL MENTOR HEALTHCARE NETWORK	1366598484	2023-03-12

The organization National Mentor Healthcare Network is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1366598484. Registration indicates National Mentor Healthcare Network is a provider of services with a specialization in Nursing & Custodial Care Facilities, Intermediate Care Facility, Mental Illness (Intermediate Care Facility, Mental Illness, ) (Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities)

Other Names:

• Florida Mentor

Entity Type	Organization
Provider Organization	NATIONAL MENTOR HEALTHCARE NETWORK
Other Provider Organization	FLORIDA MENTOR
Practice Office Address	5808 KINKAID RD JACKSONVILLE, FL US
Practice Office Telephone	9047770460
Practice Office Fax	9047789293
Mailing Address	5808 KINKAID RD JACKSONVILLE, FL 322441034 US
Business Telephone	9047770460
Business Fax	9047789293
Authorized Official	BRETT IAN COHEN, COO 8003885150

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