The Mentor Network
The Mentor Network is an Intellectual Disabilities Intermediate Care Facility in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
Practice location Address checks out
1725 Fifth StDaytona Beach, FL 32117-5107
Phone: (386) 274-4172
Fax: (386) 274-7629
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 4021095 (FL) |
|---|
Record details
| NPI number | 1972856011 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brett Cohen — Coo · (800) 388-5150 |
| Other names | Florida Mentor; Florida Mentor |
| NPI enumerated | October 25, 2012 |
| Last updated in NPPES | March 19, 2023 |
| Certification date | March 19, 2023 |
| Mailing address | 313 Congress St, Boston, MA 02210-1218 |
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