# BOPPAS HOME 2

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902279995
- **Authorized official:** BETHANN MEYER RN (OWNER)
- **Authorized official phone:** (321) 499-4066

## Contact information

- **Practice address:** 163 AVIATION AVE NE, PALM BAY, FL 32907-3022
- **Practice address phone:** (321) 499-4066
- **Mailing address:** 163 AVIATION AVE NE, PALM BAY, FL 32907-3022
- **Mailing address phone:** (321) 499-4066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 12545 | FL | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 11/12/2015
