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CEE-BREEZE PERSONAL CARE SERVICES, INC.

Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Illness

Provider NPI: 1598963548

Organization Information:
Organization Name:  CEE-BREEZE PERSONAL CARE SERVICES, INC.
Organization is not Subpart
Authorized Official:  CLARENCE R BAKER  PRESIDENT/CEO  757-338-7747

Practice Location:
410 ELM AVE SW  ROANOKE, VA 24016-3920 US
Tel: 540-343-2200  Fax: --

Business Mailing Address:
PO BOX 1140  FRANKLIN, VA 23851-1140 US
Tel: 757-338-7747  Fax: --

NPI Information:
NPI: 1598963548
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N320800000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Illness
VA94703001
Y320800000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Illness
VA94002029

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 320800000X

Type:

Classification:



Definition:



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