Provider Demographics
NPI:1134587124
Name:SEAAURA EVENTS LLC
Entity type:Organization
Organization Name:SEAAURA EVENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAJIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-579-0243
Mailing Address - Street 1:13119 FENNWAY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7160
Mailing Address - Country:US
Mailing Address - Phone:813-579-0243
Mailing Address - Fax:813-374-4921
Practice Address - Street 1:13119 FENNWAY RIDGE DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7160
Practice Address - Country:US
Practice Address - Phone:813-579-0243
Practice Address - Fax:813-374-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906833311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home