Brevard Independent Supportive Services LLC

NPI #1518835578 in Cocoa, Florida

Provider Information

NPI Number
1518835578
Entity Type
Organization
Organization Name
Brevard Independent Supportive Services LLC
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Oct 29, 2025
Last Updated
Oct 29, 2025

Practice Location

Address
229 LIME ST
City
Cocoa
State
Florida
ZIP Code
32926-4140
Phone
(321) 557-2459

Authorized Official

Name
SHIRLENE WADE
Title
OWNER
Phone
(321) 557-2459

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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