Organization
SEABREEZE NON EMERGENCY MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRISA BERUMEN-DIXON (OWNER)
(815) 670-1499
Entity
Organization
Contact information
Practice address
1016 KINGSWAY AVE, ROCKFORD, IL 61108-3857
(815) 670-1499
Mailing address
1016 KINGSWAY AVE, ROCKFORD, IL 61108-3857
(815) 670-1499
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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