Organization · Type 2 NPI

Home at Last of Brevard,inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Palm Bay, FL

NPI number 1508169657 Active

Practice location

2333 Jupiter Blvd SW
Palm Bay, FL 32908-3416

Call (321) 508-4639 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1508169657

Home at Last of Brevard,inc.'s National Provider Identifier is 1508169657, issued on Dec 13, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Palm Bay, FL. The record was last updated on Dec 13, 2010.