Organization
BREEZEMONTE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT MENEFEE (PRESIDENT)
(904) 622-8804
Entity
Organization
Contact information
Practice address
8246 LUCAYA CT, JACKSONVILLE, FL 32221-6677
(904) 622-8804
Mailing address
8246 LUCAYA CT, JACKSONVILLE, FL 32221-6677
(904) 622-8804
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
673902496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673902496
—
FL
Enumeration date
02/03/2006
Last updated
08/19/2011
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