NPI 1427869809

Florida Mentor II LLC

Organisation Intellectual Disabilities Intermediate Care Facility Lake City, FL

Practice location

Address: 673 NW Cluster Dr, Lake City, FL 32055-2534
Phone: (800) 388-5150
Mailing address: 6600 France Ave S STE 350, Edina, MN 55435-1810

Authorised official

Name: Mary Patricia Rodenberg-Roberts
Title: Vp & Sr Asst General Counsel
Phone: (952) 836-2234

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: 1427869809
Entity type: Organization
NPI issued: 15 Jan 2025
Record last updated: 15 Jan 2025

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.