# CITRUS PINES ADULT FAMILY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780131276
- **Authorized official:** MR. DANIEL G KERN (PRESIDENT)
- **Authorized official phone:** (352) 513-2024

## Contact information

- **Practice address:** 5618 N LECANTO HWY, BEVERLY HILLS, FL 34465-2610
- **Practice address phone:** (352) 513-2024
- **Mailing address:** 5618 N LECANTO HWY, BEVERLY HILLS, FL 34465
- **Mailing address phone:** (352) 513-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 41679 | FL | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016