Whalio Doctors

NPI 1053605238

Crj Enterprizes INC.

Organisation Assisted Living Facility Merritt Island, FL

Practice location

Address
775 Montego Bay Dr S, Merritt Island, FL 32953-3259
Phone
(321) 745-2126
Fax
(321) 454-3642

Authorised official

Name
Cheryl Kay Mutter
Title
Administrator
Phone
(321) 745-2126

Registered specialties (2)

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL11818 (FL)
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RN9227576 (FL)

Registry record

NPI
1053605238
Entity type
Organization
NPI issued
5 Jun 2011
Record last updated
5 Jun 2011

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.