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National Mentor Healthcare,llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, Florida
NPI 1720141542

National Mentor Healthcare,llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jacksonville, FL. National Mentor Healthcare,llc practices in Jacksonville, FL. The NPI Number for National Mentor Healthcare,llc is 1720141542 and holds a License No. 4034096 (Florida).

The current practice location address for National Mentor Healthcare,llc is 3615 Hodges Blvd, Jacksonville, FL and can be reached out via phone at 904-223-4173 and via fax at 904-223-5611.

Location: 3615 Hodges Blvd, Jacksonville, FL, 32224-1288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720141542
Provider Name
National Mentor Healthcare,llc
Credential
Provider Entity Type
Organization
Address
3615 Hodges Blvd, Jacksonville, FL, 32224-1288
Phone Number
904-223-4173
Fax Number
904-223-5611
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0312592 00 05 FL
institution
Provider Business Practice Location Address Details
Address
3615 Hodges Blvd
City
Jacksonville
State
Florida
Zip
32224-1288
Phone Number
904-223-4173
Fax Number
904-223-5611
person
Provider Business Mailing Address Details
Address
3615 Hodges Blvd
City
Jacksonville
State
Florida
Zip
32224-1288
Phone Number
904-223-4173
Fax Number
904-223-5611
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
4034096 (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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