Organization
PLEASANT HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RUTH ELIZABETH SOMERVILLE C.N.A (ADMINISTRATOR)
(321) 984-8688
Entity
Organization
Contact information
Practice address
485 WAYLAND RD SW, PALM BAY, FL 32908-3412
(321) 984-8688
(321) 953-4515
Mailing address
485 WAYLAND RD SW, PALM BAY, FL 32908-3412
(321) 984-8688
(321) 953-4515
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
AL7646
FL
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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