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NPI Code Detail

MEDICARE: MERRITT ISLAND RHF HOUSING, INC

MEDICARE: MERRITT ISLAND RHF HOUSING, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF11070961FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245237270
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERRITT ISLAND RHF HOUSING, INC
Provider Business Mailing Address
First Line : 1100 S COURTENAY PKWY
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32952-3804
Country : US
Telephone Number : 321-452-1233
Fax Number : 321-452-7068
Provider Business Practice Location Address
First Line : 1100 S COURTENAY PKWY
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32952-3804
Country : US
Telephone Number : 321-452-1233
Fax Number : 321-452-7068
Authorized Official
Title or Position : VP OF OPERATIONS
Name : STUART HARTMAN
Credential :
Telephone Number : 562-257-5100
Provider Enumeration Date : 07/05/2005
Last Update Date : 01/21/2009

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Directions to “MERRITT ISLAND RHF HOUSING, INC ” Practice Location

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