Organization
BREVARD HMA HOME HEALTH, LLC
Active
Other names
Sebastian River Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TODD LYLES (SR VICE PRESIDENT)
(502) 891-1044
Entity
Organization
Contact information
Practice address
989 SEBASTIAN BLVD, STE 101, SEBASTIAN, FL 32958-4879
(772) 581-3181
(772) 663-9676
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1187
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
01/07/2017
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