Organization
PACIFIC BREEZE AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABTE SIMON PHARMD (RESIDENT MANAGER)
(360) 605-8930
Entity
Organization
Contact information
Practice address
16017 NE 79TH WAY, VANCOUVER, WA 98682-1541
(360) 605-8930
(360) 251-0313
Mailing address
16017 NE 79TH WAY, VANCOUVER, WA 98682-1541
(360) 605-8930
(360) 251-0313
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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