OrganizationSea Breeze Wellness Center(Sea Breeze Therapy Center)Community/Behavioral HealthAgenciesPractice Address2021 S Jones Blvd Ste C, Las Vegas, NV 89146-3137(702) 476-0909PECOS EnrollmentBased on the most recent information from CMS, provider Sea Breeze Wellness Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1841734415Provider TypeOrganizationFull NameSea Breeze Wellness CenterOther NameSea Breeze Therapy CenterSubpartNoEnumeration Date12/15/2016Last Updated12/15/2016Contact InformationPractice LocationPractice Address2021 S Jones Blvd Ste C, Las Vegas, NV 89146-3137Phone(702) 476-0909Fax(702) 476-0983Mailing LocationMailing Address2021 S Jones Blvd Ste C, Las Vegas, NV 89146-3137Phone(702) 476-0909Fax(702) 476-0983Authorized OfficialNameKing, Michelle (Director)Phone(702) 476-0909Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseE0230732015-6Nevada