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Florida Mentor Ii Llc
Intellectual Disabilities Intermediate Care Facility in Fort Walton Beach, Florida
NPI 1962009019

Florida Mentor Ii Llc is a Intellectual Disabilities Intermediate Care Facility based in Tampa, FL. Florida Mentor Ii Llc practices in Fort Walton Beach, FL. The NPI Number for Florida Mentor Ii Llc is 1962009019 and holds a License No. (Florida).

The current practice location address for Florida Mentor Ii Llc is 1045 Mar Walt Dr, Fort Walton Beach, FL and can be reached out via phone at 850-862-0108 and via fax at 850-862-7103.

Location: 1045 Mar Walt Dr, Fort Walton Beach, FL, 33619-0907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962009019
Provider Name
Florida Mentor Ii Llc
Credential
Provider Entity Type
Organization
Address
1045 Mar Walt Dr, Fort Walton Beach, FL, 33619-0907
Phone Number
850-862-0108
Fax Number
850-862-7103
Provider Enumeration Date
10/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1045 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6738
Phone Number
850-862-0108
Fax Number
850-862-7103
person
Provider Business Mailing Address Details
Address
1045 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6738
Phone Number
850-862-0108
Fax Number
850-862-7103
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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