Organization
BREVARD COMMUNITY HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL O'CONNELL (PRESIDENT)
(321) 725-4500
Entity
Organization
Contact information
Practice address
2226 SARNO RD STE 111, MELBOURNE, FL 32935-3087
(321) 751-6390
(321) 751-6389
Mailing address
2226 SARNO RD STE 111, MELBOURNE, FL 32935-3087
(321) 751-6390
(321) 751-6389
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108053
MEDICARE IDENTIFICATION NUMBER
FL
Enumeration date
12/01/2009
Last updated
12/01/2009
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