Organization
STILWATER ALF BRICKELL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE R LEWIS (VP)
(321) 684-3689
Entity
Organization
Contact information
Practice address
1139 BRICKELL ST SE, PALM BAY, FL 32909-4658
(321) 914-0298
Mailing address
1139 BRICKELL ST SE, PALM BAY, FL 32909-4658
(321) 914-0298
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12137
FL
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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