Organization
SL GLENBROOKE LLC
Active
Other names
Glenbrooke at Palm Bay
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE WILLIS LCSW (EXECUTIVE DIRECTOR)
(321) 956-3330
Entity
Organization
Contact information
Practice address
815 BRIAR CREEK BLVD NE, PALM BAY, FL 32905-5423
(321) 956-3330
(321) 956-3998
Mailing address
815 BRIAR CREEK BLVD NE, PALM BAY, FL 32905-5423
(321) 956-3330
(321) 956-3998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11650
FL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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