Organization
OCEAN BREEZE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVIE BENITEZ (ADMINISTRATOR/OWNER)
(813) 417-8203
Entity
Organization
Contact information
Practice address
4713 KELLY RD, TAMPA, FL 33615-5018
(813) 417-8203
(813) 243-8492
Mailing address
4713 KELLY RD, TAMPA, FL 33615-5018
(813) 417-8203
(813) 243-8492
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
04/25/2024
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