NPI 1154624682

The Place at Merritt Island

Organisation Assisted Living Facility Merritt Island, FL

Practice location

Address: 535 Crockett Blvd, Merritt Island, FL 32953-5018
Phone: (321) 454-2363
Fax: (321) 454-3030

Authorised official

Name: Daniel Scott Anderson
Title: President/Administrator
Phone: (321) 454-2363

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL8975 (FL)

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Registry record

NPI: 1154624682
Entity type: Organization
NPI issued: 6 Dec 2010
Record last updated: 6 Dec 2010

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.