Organization · Type 2 NPI

Florida Mentor II LLC

Intellectual Disabilities Intermediate Care Facility · Pensacola, FL

NPI number 1780281824 Active

Practice location

1 Villa Dr
Pensacola, FL 32506-5535

Call (850) 453-2323 Map

Fax (850) 455-4203

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 Developmental CenterIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pensacola, FL NPI 1841299450

Other intellectual disabilities intermediate care facility providers in Pensacola

See all in Pensacola →

NPI record

NPI: 1780281824
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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Pensacola 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 1780281824

Florida Mentor II LLC's National Provider Identifier is 1780281824, issued on Oct 1, 2020. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pensacola, FL. The record was last updated on Nov 18, 2020.