Organization
SEA BREEZE SEVEN, INC.
Active
Organization
SEA BREEZE SEVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA T. HAMELA OTR/L (PRESIDENT)
(812) 499-5170
Entity
Organization
Contact information
Practice address
3252 COUNTRYSIDE DR, SEBREE, KY 42455-9721
(812) 499-5170
(270) 835-2781
Mailing address
3252 COUNTRYSIDE DR, SEBREE, KY 42455-9721
(812) 499-5170
(270) 835-2781
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
KY-R2838
KY
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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