NPI 1104238773

National Mentor Heatlthcare, LLC

Organisation Intellectual Disabilities Intermediate Care Facility Panama City, FL

Practice location

Address: 1204 W 13th St, Panama City, FL 32401-2015
Phone: (850) 785-0605
Mailing address: 313 Congress St, Boston, MA 02210-1218

Authorised official

Name: Brett Ian Cohen
Title: Coo
Phone: (800) 388-5150

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: 1104238773
Entity type: Organization
NPI issued: 29 May 2014
Record last updated: 4 Mar 2023

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.