NPI 1831419134

National Mentor Healthcare,llc

Organisation Foster Care Agency Monroe, LA

Practice location

Address: 1890 Hudson Cir Suite 12, Monroe, LA 71201-3538
Phone: (318) 410-8823
Mailing address: 313 Congress St, Boston, MA 02210-1218

Authorised official

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

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 13051 (LA)

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Registry record

NPI: 1831419134
Entity type: Organization
NPI issued: 9 Jun 2010
Record last updated: 19 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.