Organization
MERRITT ISLAND HEALTH CARE ASSOCIATES LLC
Active
Other names
Island Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK S. GANARY (MANAGER)
(321) 453-0202
Entity
Organization
Contact information
Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
(321) 453-0323
Mailing address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
(321) 453-0323
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1349096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025235200
—
FL
Enumeration date
05/25/2006
Last updated
08/02/2012
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