Organization
MARTHA'S HOUSE & ASSISTED LIVING FACILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTONIECE FERNANDES MSW (OWNER)
(321) 978-5315
Entity
Organization
Contact information
Practice address
3831 FUNSTON CIR, MELBOURNE, FL 32940-8583
(321) 978-5315
(321) 978-5316
Mailing address
3831 FUNSTON CIR, MELBOURNE, FL 32940-8583
(321) 978-5315
(321) 978-5316
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
08/01/2023
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