| Organization Name: | BOPPAS HOME 2 |
| NPI Number: | 1902279995 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETHANN MEYER (OWNER) |
| Mailing Address: | 163 Aviation Ave Ne Palm Bay |
| State: | FL US |
| Postal Code: | 329073022 |
| Phone Number: | 3214994066 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2015 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 12545 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |