NPI 1780281824

Florida Mentor II LLC

Organisation Intellectual Disabilities Intermediate Care Facility Pensacola, FL

Practice location

Address: 1 Villa Dr, Pensacola, FL 32506-5535
Phone: (850) 453-2323
Fax: (850) 455-4203
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: 1780281824
Entity type: Organization
NPI issued: 1 Oct 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.