# NAOMI JANACE ARMISTEAD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Forest Manor, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366782575
- **Authorized official:** MS. NAOMI JANACE ARMISTEAD (OWNER)
- **Authorized official phone:** (352) 468-2435

## Contact information

- **Practice address:** 2876 SE 109TH ST, STARKE, FL 32091-7461
- **Practice address phone:** (352) 468-2435
- **Practice address fax:** (352) 468-2435
- **Mailing address:** 2876 SE 109TH ST, STARKE, FL 32091-7461
- **Mailing address phone:** (352) 468-2435
- **Mailing address fax:** (352) 468-2435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906444 | FL | Yes |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 02/25/2013