Organization
CEE-BREEZE PERSONAL CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE R BAKER (PRESIDENT/CEO)
(757) 338-7747
Entity
Organization
Contact information
Practice address
410 ELM AVE SW, ROANOKE, VA 24016-3920
(540) 343-2200
Mailing address
PO BOX 1140, FRANKLIN, VA 23851-1140
(757) 338-7747
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
94002029
VA
320800000X
Mental Illness Community Based Residential Treatment Facility
94703001
VA
Other
Enumeration date
07/10/2007
Last updated
08/08/2007
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