Organization
BREVARD ALZHEIMER'S FOUNDATION, INC.
Active
Other names
YourCare Brevard, Joe's Club
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY VICTOR TIMMERMANN JR. (EXECUTIVE DIRECTOR)
(321) 253-4430
Entity
Organization
Contact information
Practice address
4676 N WICKHAM RD, MELBOURNE, FL 32935-7103
(321) 253-4430
(321) 757-6971
Mailing address
4676 N WICKHAM RD, MELBOURNE, FL 32935-7103
(321) 253-4430
(321) 253-1993
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010751300
—
FL
05
—
015080100
—
FL
Enumeration date
03/27/2008
Last updated
07/19/2022
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