# SEA BREEZE WELLNESS CENTER LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366820961
- **Authorized official:** DR. MATTHEW O OKEKE MD (PRESIDENT)
- **Authorized official phone:** (702) 202-0099

## Contact information

- **Practice address:** 2021 S JONES BLVD, LAS VEGAS, NV 89146-3137
- **Practice address phone:** (702) 202-0099
- **Practice address fax:** (702) 778-7632
- **Mailing address:** 2021 S JONES BLVD, LAS VEGAS, NV 89146-3137
- **Mailing address phone:** (702) 202-0099
- **Mailing address fax:** (702) 778-7632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 20150212685-92 | NV | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 05/26/2015