Organization
THE SOCIAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. WEBER (OWNER/EXECUTIVE DIRECTOR)
(321) 373-7000
Entity
Organization
Contact information
Practice address
5200 BABCOCK ST NE, SUITE 109, PALM BAY, FL 32905-4612
(321) 373-7000
(321) 507-1098
Mailing address
5200 BABCOCK ST NE, SUITE 109, PALM BAY, FL 32905-4612
(321) 373-7000
(321) 507-1098
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9312
FL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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