Organization
BOPPAS HOME 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANN MEYER RN (OWNER)
(321) 499-4066
Entity
Organization
Contact information
Practice address
163 AVIATION AVE NE, PALM BAY, FL 32907-3022
(321) 499-4066
Mailing address
163 AVIATION AVE NE, PALM BAY, FL 32907-3022
(321) 499-4066
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
12545
FL
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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