NPI 1093322794

Florida Mentor II LLC

Organisation Intellectual Disabilities Intermediate Care Facility Tampa, FL

Practice location

Address: 14219 Bruce B Downs Blvd, Tampa, FL 33613-3913
Phone: (813) 971-3490
Fax: (813) 977-3471
Mailing address: 3258 Parkside Center Cir, Tampa, FL 33619-0907

Authorised official

Name: Carol Swanson
Title: Vice President of Operations
Phone: (813) 389-8300

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Florida →

Registry record

NPI: 1093322794
Entity type: Organization
NPI issued: 26 Sep 2020
Record last updated: 18 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.