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Home At Last Of Brevard,inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Palm Bay, Florida
NPI 1508169657

Home At Last Of Brevard,inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Palm Bay, FL. Home At Last Of Brevard,inc. practices in Palm Bay, FL. The NPI Number for Home At Last Of Brevard,inc. is 1508169657 and holds a License No. (Florida).

The current practice location address for Home At Last Of Brevard,inc. is 2333 Jupiter Blvd Sw, Palm Bay, FL and can be reached out via phone at 321-508-4639.

Location: 2333 Jupiter Blvd Sw, Palm Bay, FL, 32908-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508169657
Provider Name
Home At Last Of Brevard,inc.
Credential
Provider Entity Type
Organization
Address
2333 Jupiter Blvd Sw, Palm Bay, FL, 32908-3416
Phone Number
321-508-4639
Fax Number
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
674701996 01 FL MEDICAID WAIVER
institution
Provider Business Practice Location Address Details
Address
2333 Jupiter Blvd Sw
City
Palm Bay
State
Florida
Zip
32908-3416
Phone Number
321-508-4639
Fax Number
person
Provider Business Mailing Address Details
Address
2333 Jupiter Blvd Sw
City
Palm Bay
State
Florida
Zip
32908-3416
Phone Number
321-508-4639
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Florida)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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