National Mentor Healthcare, LLC

NPI #1720237928 in Gary, Indiana

Provider Information

NPI Number: 1720237928
Entity Type: Organization
Organization Name: National Mentor Healthcare, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 11, 2008
Last Updated: Mar 19, 2023

Practice Location

Address: 3528 FILLMORE ST
City: Gary
State: Indiana
ZIP Code: 46408-1542
Phone: (317) 581-2380

Authorized Official

Name: BRETT IAN COHEN
Title: COO
Phone: (800) 388-5150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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