NPI 1366598484

National Mentor Healthcare Network

Organisation Mental Illness Intermediate Care Facility Jacksonville, FL

Practice location

Address: 5808 Kinkaid Rd, Jacksonville, FL 32244-1034
Phone: (904) 777-0460
Fax: (904) 778-9293

Authorised official

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

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 4037095 (FL)

Other Intermediate Care Facility, Mental Illness providers in Florida →

Registry record

NPI: 1366598484
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 12 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.