NPI 1366993404

Steve Ewald

Organisation Physical Disabilities Residential Treatment Facility Melbourne, FL

Practice location

Address: 5595 Willoughby Dr, Melbourne, FL 32934-2822
Phone: (321) 505-7620

Authorised official

Name: Steve Ewald
Title: Ceo
Phone: (321) 505-7620

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1366993404
Entity type: Organization
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

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.