Florida Mentor II LLC
NPI #1821809203 in Gainesville, Florida
Provider Information
- NPI Number
- 1821809203
- Entity Type
- Organization
- Organization Name
- Florida Mentor II LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 15, 2025
- Last Updated
- Jan 15, 2025
Practice Location
- Address
- 5915 NW 39TH AVE
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32606-5864
- Phone
- (800) 388-5150
Authorized Official
- Name
- MARY PATRICIA RODENBERG-ROBERTS
- Title
- VP & SR ASST GENERAL COUNSEL
- Phone
- (952) 836-2234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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