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Florida Mentor Ii Llc
Intellectual Disabilities Intermediate Care Facility in Tampa, Florida
NPI 1093322794

Florida Mentor Ii Llc is a Intellectual Disabilities Intermediate Care Facility based in Tampa, FL. Florida Mentor Ii Llc practices in Tampa, FL. The NPI Number for Florida Mentor Ii Llc is 1093322794 and holds a License No. (Florida).

The current practice location address for Florida Mentor Ii Llc is 14219 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-971-3490 and via fax at 813-977-3471.

Location: 14219 Bruce B Downs Blvd, Tampa, FL, 33619-0907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093322794
Provider Name
Florida Mentor Ii Llc
Credential
Provider Entity Type
Organization
Address
14219 Bruce B Downs Blvd, Tampa, FL, 33619-0907
Phone Number
813-971-3490
Fax Number
813-977-3471
Provider Enumeration Date
09/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14219 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33613-3913
Phone Number
813-971-3490
Fax Number
813-977-3471
person
Provider Business Mailing Address Details
Address
14219 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33613-3913
Phone Number
813-971-3490
Fax Number
813-977-3471
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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