Organization · Type 2 NPI
National Mentor Healthcare Network
Mental Illness Intermediate Care Facility · Jacksonville, FL
NPI number
1366598484
Active
Practice location
5808 Kinkaid Rd
Jacksonville, FL 32244-1034
Fax (904) 778-9293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | 4037095 (FL) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
About NPI 1366598484
National Mentor Healthcare Network's National Provider Identifier is 1366598484, issued on Jan 25, 2007. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 12, 2023.