# GULF BREEZE ADULT FAMILY CARE HOME LLC

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

## Provider details

- **NPI number:** 1548781289
- **Authorized official:** MS. LINDA CARMEN MILLER (OWNER)
- **Authorized official phone:** (941) 412-3233

## Contact information

- **Practice address:** 5040 VASSAR RD, VENICE, FL 34293-6039
- **Practice address phone:** (941) 416-3233
- **Practice address fax:** (941) 493-5706
- **Mailing address:** 5040 VASSAR RD, VENICE, FL 34293-6039
- **Mailing address phone:** (941) 416-3233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906791 | FL | Yes |

## Other

- **Enumeration date:** 07/03/2017
- **Last updated:** 07/21/2022