Organization
ALF BC BETHESDA, LLC
Active
Organization
ALF BC BETHESDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J MATRAZZO (COO)
(321) 723-3288
Entity
Organization
Contact information
Practice address
2800 FORDHAM RD NE, PALM BAY, FL 32905-4312
(321) 723-3288
Mailing address
2800 FORDHAM RD NE, PALM BAY, FL 32905-4312
(321) 723-3288
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AL4788
FL
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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