Organization · Type 2 NPI

Mentor Abi

Assisted Living Facility · Fairview, PA

NPI number 1922322502 Active

Practice location

6816 W Lake Rd
Fairview, PA 16415-1645

Call (813) 626-1444 Map

Fax (813) 621-0770

Mailing address

980 Washington St Ste 306
Dedham, MA 02026-6797

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Adult Care Home Facility	311ZA0620X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Another provider at this address

Anchor Inne, Inc.Adult Care Home Facility Fairview, PA NPI 1356438352

NPI record

NPI: 1922322502
Entity type: Organization (Type 2)
Issued: Mar 25, 2010
Last updated: Sep 25, 2022
Status: Active

Other names

<unavail>
Neurorestorative Pennsylvania · doing business as
Neurorestorative Pennsylvania · doing business as

Authorized official

Sergio P Cruz
CFO
(781) 708-9444

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 1922322502

Mentor Abi's National Provider Identifier is 1922322502, issued on Mar 25, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fairview, PA. The record was last updated on Sep 25, 2022.