Organization · Type 2 NPI

Florida Mentor II LLC

Intellectual Disabilities Intermediate Care Facility · Panama City, FL

NPI number 1144827296 Active

Practice location

1407 Lincoln Dr
Panama City, FL 32401-2870

Call (850) 769-7636 Map

Fax (850) 522-8966

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

Panama City Developmental CenterMental Illness Intermediate Care Facility Panama City, FL NPI 1568461671

Other intellectual disabilities intermediate care facility providers in Panama City

See all in Panama City →

NPI record

NPI: 1144827296
Entity type: Organization (Type 2)
Issued: Oct 1, 2020
Last updated: Nov 18, 2020
Status: Active
Subpart: Yes of Florida Mentor II LLC

Other names

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Panama City Developmental Center · doing business as

Authorized official

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

Verify this record

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 1144827296

Florida Mentor II LLC's National Provider Identifier is 1144827296, issued on Oct 1, 2020. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Panama City, FL. The record was last updated on Nov 18, 2020.