Organization
ELYSIAN CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ROSE WHITTAMORE PMHNP-BC (OWNER)
(321) 747-4331
Entity
Organization
Contact information
Practice address
491 FELLENZ ST SW, PALM BAY, FL 32908-4785
(321) 747-4331
Mailing address
491 FELLENZ ST SW, PALM BAY, FL 32908-4785
(321) 747-4331
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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