Organization · Type 2 NPI

Florida Mentor II LLC

Intellectual Disabilities Intermediate Care Facility · Tampa, FL

NPI number 1093322794 Active

Practice location

14219 Bruce B Downs Blvd
Tampa, FL 33613-3913

Call (813) 971-3490 Map

Fax (813) 977-3471

Mailing address

3258 Parkside Center Cir
Tampa, FL 33619-0907

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

Another provider at this address

Pensacola Care, Inc.Intellectual and/or Developmental Disabilities Residential Treatment Facility Tampa, FL NPI 1841299237

Other intellectual disabilities intermediate care facility providers in Tampa

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NPI record

NPI: 1093322794
Entity type: Organization (Type 2)
Issued: Sep 26, 2020
Last updated: Nov 18, 2020
Status: Active
Subpart: Yes of Florida Mentor II LLC

Other names

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Hillsborough County Developmental Center · doing business as

Authorized official

Carol Swanson
Vice President of Operations
(813) 389-8300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093322794

Florida Mentor II LLC's National Provider Identifier is 1093322794, issued on Sep 26, 2020. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Tampa, FL. The record was last updated on Nov 18, 2020.