institution
The Mentor Network
Intellectual Disabilities Intermediate Care Facility in Daytona Beach, Florida
NPI 1972856011

The Mentor Network is a Intellectual Disabilities Intermediate Care Facility based in Boston, FL. The Mentor Network practices in Daytona Beach, FL. The NPI Number for The Mentor Network is 1972856011 and holds a License No. 4021095 (Florida).

The current practice location address for The Mentor Network is 1725 Fifth St, Daytona Beach, FL and can be reached out via phone at 386-274-4172 and via fax at 386-274-7629.

Location: 1725 Fifth St, Daytona Beach, FL, 02210-1218
institution
Provider Profile Details
NPI Number
1972856011
Provider Name
The Mentor Network
Credential
Provider Entity Type
Organization
Address
1725 Fifth St, Daytona Beach, FL, 02210-1218
Phone Number
386-274-4172
Fax Number
386-274-7629
Provider Enumeration Date
10/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1725 Fifth St
City
State
Zip
32117-5107
Phone Number
386-274-4172
Fax Number
386-274-7629
person
Provider Business Mailing Address Details
Address
1725 Fifth St
City
State
Zip
32117-5107
Phone Number
386-274-4172
Fax Number
386-274-7629
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
4021095 (Florida)
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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