Organization Name: | NATIONAL MENTOR HEALTHCARE, LLC |
NPI Number: | 1760768220 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRESTON SCOTT MARTIN (EXECUTIVE DIRECTOR) |
Mailing Address: | 2 Centerview Drive Suite 300 Greensboro |
State: | NC US |
Postal Code: | 274073708 |
Phone Number: | 3362979009 |
Fax Number: | 3362970062 |
NPI Enumeration Date: | 10/28/2011 |
NPI Last Update Date: | 11/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |