Organization
FAIR BREEZE LLC
Active
Other names
Fair Breeze Senior Homes and Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARIE ANNETTE WILLIAMS SOTO CSA (OWNER/MANAGER)
(954) 680-7846
Entity
Organization
Contact information
Practice address
5146 SW 90TH AVE, COOPER CITY, FL 33328-3625
(954) 680-7846
Mailing address
5146 SW 90TH AVE, COOPER CITY, FL 33328-3625
(954) 680-7846
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
347C00000X
Private Vehicle
W452501626361
FL
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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