Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH HOPPING (PTA)
(321) 723-3515
Entity
Organization
Contact information
Practice address
2653 REFLECTIONS PL, W. MELBOURNE, FL 32904
(321) 723-3515
Mailing address
2653 REFLECTIONS PL, MELBOURNE, FL 32904-6665
(321) 723-3515
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA18944
FL
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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