Organization
PINEVIEW 102 LLC
Active
Other names
Crossview Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET HUDSON FERNANDEZ (CHIEF FINANCIAL OFFICER)
(954) 367-4563
Entity
Organization
Contact information
Practice address
402 EAST BAY STREET, PINEVIEW, GA 31071-3430
(229) 624-2437
(229) 624-2715
Mailing address
4700 SHERIDAN ST, SUITE B, HOLLYWOOD, FL 33021-3420
(954) 367-4563
(954) 367-4564
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
10/30/2012
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