NPI 1144382136

National Mentor Healthcare, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Port St Lucie, FL

Practice location

Address: 111 NE Caprona Ave, Port St Lucie, FL 34983-8450
Phone: (772) 879-1925
Mailing address: 313 Congress St, Boston, MA 02210-1218

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 4017096 (FL)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1144382136
Entity type: Organization
NPI issued: 15 Dec 2006
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.