Organization
PINES RETIREMENT RESIDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA GIORDANO (ADMINISTRATOR/OWNER)
(754) 244-1296
Entity
Organization
Contact information
Practice address
7740 NW 1ST ST, PEMBROKE PINES, FL 33024-6966
(754) 244-1296
(954) 430-9438
Mailing address
2327 NW 190TH AVE, PEMBROKE PINES, FL 33029-5317
(754) 244-1296
(954) 430-9438
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002801700
TREATING PROVIDER FOR MANAGED CARE PLAN FOR AMERIGROUP FLORIDA INC
FL
Enumeration date
03/07/2011
Last updated
03/07/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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