IndividualActive
Alejandra Clark
NPI 1518807403 · Assisted Living Facility (Behavioral Disturbances) · Melbourne, FL
Provider details
- NPI number
- 1518807403
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13891 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
863 Pelican Ln
Melbourne, FL 32935-6952
Phone: (407) 797-9008
Approximate (ZIP-level) locationGet directions
Mailing address
863 Pelican Ln
Melbourne, FL 32935-6952
Registry dates
- Enumerated
- 2026-03-30
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.