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Organization

BOPPA'S HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BETHANN MEYER RN, BSN (OWNER)
(321) 327-5350
Entity
Organization

Contact information

Practice address
440 CATALINA AVE NW, PALM BAY, FL 32907-1835
(321) 327-5350
(321) 327-5350
Mailing address
440 CATALINA AVE NW, PALM BAY, FL 32907-1835
(321) 327-5350
(321) 327-5350

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12106
FL

Other

Enumeration date
05/14/2013
Last updated
05/14/2013
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