NPI 1053033134
Prefix Suffix LLC
Practice location
- Address
- 2419 S. Babcock St Unit a, Melbourne, FL 32901-3290
- Phone
- (254) 702-5426
- Mailing address
- 2419 S. Babcock St Unit a, Melbourne, FL 32901
Authorised official
- Name
- Shamika a Hamilton
- Title
- Ceo
- Phone
- (254) 702-5426
Registered specialties (4)
Home Health Agency
Primary
Meals Provider
In Home Supportive Care Agency
Assisted Living Facility
Registry record
- NPI
- 1053033134
- Entity type
- Organization
- NPI issued
- 14 Sep 2022
- Record last updated
- 14 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.