Organization
MEL-MAR ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MIRA (PRESIDENT)
(321) 639-0004
Entity
Organization
Contact information
Practice address
965 FLORIDA AVE S, ROCKLEDGE, FL 32955-2129
(321) 639-0004
Mailing address
965 FLORIDA AVE S, ROCKLEDGE, FL 32955-2129
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009018100
—
FL
Enumeration date
10/25/2012
Last updated
10/02/2013
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