Organization
PINEWOOD ESTATES ASSISTED LIVING FACILITY
Active
Parent organization
PINEWOOD ESTATES ASSISTED LIVING FACILITY
Other names
PINEWOOD ESTATES ASSISTED LIVING COMMUNITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINEWOOD ESTATES ASSISTED LIVING FACILITY
Authorized official
MR. PETER D. FELLOWS (DIRECTOR)
(786) 376-4043
Entity
Organization
Contact information
Practice address
4055 PINEWOOD RD, MELBOURNE, FL 32934-9053
(786) 376-4043
Mailing address
PO BOX 640902, MIAMI, FL 33164-0902
(786) 376-4043
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12678
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL12678
FL
311500000X
Alzheimer Center (Dementia Center)
AL12678
FL
385H00000X
Respite Care
AL12678
FL
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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