Community Based Care of Brevard

Organization Active NPI Case Management Agency · Melbourne, FL

NPI 1508900564 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1508900564
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
COMMUNITY BASED CARE OF BREVARD
Practice address
760 North Dr Ste E
Melbourne, FL 32934-9247
Phone
(321) 752-4650
Fax
(321) 752-3188
NPI assigned
Feb 16, 2007
Organization subpart
No

Authorized official

Name
Dr. Patricia Nellius
Title
Chief Executive Officer
Phone
(321) 752-3183

National Provider Directory

Locations

760 North Dr
Ste E
Melbourne, FL 32934
Phone (321) 253-2000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

760 North Dr Ste E
Melbourne, FL 32934-9247

Mailing address

760 North Dr Ste E
Melbourne, FL 32934-9247
Phone (321) 752-4650

Other providers in Melbourne, FL

All providers in Melbourne, FL · Case Management Agency in Florida

Sources for this page

Verify at the official NPI Registry.