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Organization
NAOMI JANACE ARMISTEAD
Active
Organization
NAOMI JANACE ARMISTEAD
Active
Other names
Pine Forest Manor, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAOMI JANACE ARMISTEAD (OWNER)
(352) 468-2435
Entity
Organization
Contact information
Practice address
2876 SE 109TH ST, STARKE, FL 32091-7461
(352) 468-2435
(352) 468-2435
Mailing address
2876 SE 109TH ST, STARKE, FL 32091-7461
(352) 468-2435
(352) 468-2435
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906444
FL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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