Organization
EMILY'S HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN J BROWN (PRESIDENT)
(321) 953-3047
Entity
Organization
Contact information
Practice address
474 HASKELL AVE SE, PALM BAY, FL 32909-4059
(321) 953-3047
Mailing address
474 HASKELL AVE SE, PALM BAY, FL 32909-4059
(321) 953-3047
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
231917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00285800-1-2
—
FL
Enumeration date
03/29/2013
Last updated
03/29/2013
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