Organization
BOPPAS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANN MEYER RN (OWNER)
(321) 327-5350
Entity
Organization
Contact information
Practice address
440 CATALINA AVE NW, PALM BAY, FL 32907-1835
(321) 327-5350
Mailing address
440 CATALINA AVE NW, PALM BAY, FL 32907-1835
(321) 327-5350
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
12106
FL
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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