Organization
GULF BREEZE ADULT FAMILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA CARMEN MILLER (OWNER)
(941) 412-3233
Entity
Organization
Contact information
Practice address
5040 VASSAR RD, VENICE, FL 34293-6039
(941) 416-3233
(941) 493-5706
Mailing address
5040 VASSAR RD, VENICE, FL 34293-6039
(941) 416-3233
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906791
FL
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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