Organization
BREVARD ALZHEIMER'S FOUNDATION, INC.
Active
Parent organization
BREVARD ALZHEIMER'S FOUNDATION, INC.
Other names
Joe's Club
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREVARD ALZHEIMER'S FOUNDATION, INC.
Authorized official
MR. TIMOTHY VICTOR TIMMEMANN (EXECUTIVE DIRECTOR)
(321) 253-4430
Entity
Organization
Contact information
Practice address
4676 N WICKHAM RD, MELBOURNE, FL 32935-7103
(253) 253-4430
Mailing address
4676 N WICKHAM RD, MELBOURNE, FL 32935-7103
(321) 253-4430
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6760597000
—
FL
Enumeration date
02/21/2014
Last updated
08/19/2021
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