Organization
HANDICAPABLE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY MARIE AUTRY (MARKETING DIRECTOR)
(321) 452-4557
Entity
Organization
Contact information
Practice address
2023 N ATLANTIC AVE # 267, COCOA BEACH, FL 32931-5096
(321) 452-4557
(321) 452-9083
Mailing address
2023 N ATLANTIC AVE # 267, COCOA BEACH, FL 32931-5096
(321) 452-4557
(321) 452-9083
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CRC058366
FL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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