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Organization
COMMUNITY BASED CARE OF BREVARD
Active
Organization
COMMUNITY BASED CARE OF BREVARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA NELLIUS (CHIEF EXECUTIVE OFFICER)
(321) 752-3183
Entity
Organization
Contact information
Practice address
760 NORTH DR STE E, MELBOURNE, FL 32934-9247
(321) 752-4650
(321) 752-3188
Mailing address
760 NORTH DR STE E, MELBOURNE, FL 32934-9247
(321) 752-4650
(321) 752-3188
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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