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At Home Of Brevard, Llc.
Assisted Living Facility in Palm Bay, Florida
NPI 1629244629

At Home Of Brevard, Llc. is an Assisted Living Facility based in Palm Bay, FL. At Home Of Brevard, Llc. practices in Palm Bay, FL. The NPI Number for At Home Of Brevard, Llc. is 1629244629 and holds a License No. 10779 (Florida).

The current practice location address for At Home Of Brevard, Llc. is 3116 Wendel Rd Se, Palm Bay, FL and can be reached out via phone at 321-952-6623 and via fax at 321-952-6624.

Location: 3116 Wendel Rd Se, Palm Bay, FL, 32908-6248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629244629
Provider Name
At Home Of Brevard, Llc.
Credential
Provider Entity Type
Organization
Address
3116 Wendel Rd Se, Palm Bay, FL, 32908-6248
Phone Number
321-952-6623
Fax Number
321-952-6624
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6931120 00 05 FL
institution
Provider Business Practice Location Address Details
Address
3116 Wendel Rd Se
City
Palm Bay
State
Florida
Zip
32909-8469
Phone Number
321-952-6623
Fax Number
321-952-6624
person
Provider Business Mailing Address Details
Address
3116 Wendel Rd Se
City
Palm Bay
State
Florida
Zip
32909-8469
Phone Number
321-952-6623
Fax Number
321-952-6624
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
10779 (Florida)
Definition
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.
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