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National Mentor Healthcare, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Port St Lucie, Florida
NPI 1144382136

National Mentor Healthcare, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Boston, FL. National Mentor Healthcare, Llc practices in Port St Lucie, FL. The NPI Number for National Mentor Healthcare, Llc is 1144382136 and holds a License No. 4017096 (Florida).

The current practice location address for National Mentor Healthcare, Llc is 111 Ne Caprona Ave, Port St Lucie, FL and can be reached out via phone at 772-879-1925.

Location: 111 Ne Caprona Ave, Port St Lucie, FL, 02210-1218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144382136
Provider Name
National Mentor Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
111 Ne Caprona Ave, Port St Lucie, FL, 02210-1218
Phone Number
772-879-1925
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0312657 05 FL
institution
Provider Business Practice Location Address Details
Address
111 Ne Caprona Ave
City
Port St Lucie
State
Florida
Zip
34983-8450
Phone Number
772-879-1925
Fax Number
person
Provider Business Mailing Address Details
Address
111 Ne Caprona Ave
City
Port St Lucie
State
Florida
Zip
34983-8450
Phone Number
772-879-1925
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
4017096 (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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