National Mentor Holdings INC

NPI #1821435801 in Matteson, Illinois

Provider Information

NPI Number: 1821435801
Entity Type: Organization
Organization Name: National Mentor Holdings INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 30, 2013
Last Updated: Jun 27, 2013

Practice Location

Address: 600 HOLIDAY PLAZA DR
Address 2: SUITE 400
City: Matteson
State: Illinois
ZIP Code: 60443-2241
Phone: (708) 679-9137

Authorized Official

Name: DAVID HAUTANEN
Title: BUSINESS DIRECTOR
Phone: (608) 276-1194

Specialties & Taxonomy Codes

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

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