Organization
SEA BREEZE WELLNESS CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW O OKEKE MD (PRESIDENT)
(702) 202-0099
Entity
Organization
Contact information
Practice address
2021 S JONES BLVD, LAS VEGAS, NV 89146-3137
(702) 202-0099
(702) 778-7632
Mailing address
2021 S JONES BLVD, LAS VEGAS, NV 89146-3137
(702) 202-0099
(702) 778-7632
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
20150212685-92
NV
Other
Enumeration date
05/14/2015
Last updated
05/26/2015
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