Florida Mentor II LLC
Intermediate Care Facility, Intellectual Disabilities in Dunedin, FL. Organization (NPI-2).
NPI number1376354746
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1376354746
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Mentor II LLC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2025
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
2281 Twin Lane DrDunedin, FL 34698-9351
Phone 800-388-5150
Mailing address
6600 France Ave S Ste 350Edina, MN 55435-1810
Phone 800-388-5150
Authorized official
Mary Patricia Rodenberg-Roberts
Vp & Sr Asst General Counsel
9528362234
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