Organization
BREVARD HOME CARE LLC
Active
Other names
GRISWOLD HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENKAT PUSKUR (OWNER)
(321) 948-8555
Entity
Organization
Contact information
Practice address
1600 SARNO RD, SUITE # 119J, MELBOURNE, FL 32935-4938
(321) 948-8555
Mailing address
1185 TALON WAY, MELBOURNE, FL 32934-3257
(321) 948-8555
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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