Organization
NAOMI JANACE ARMISTEAD
Active
Other names
Pine Forest Manor, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAOMI JANACE ARMISTEAD (OWNER)
(352) 468-2435
Entity
Organization
Contact information
Practice address
2876 SE 109TH ST, STARKE, FL 32091-7461
(352) 468-2435
(352) 468-2435
Mailing address
2876 SE 109TH ST, STARKE, FL 32091-7461
(352) 468-2435
(352) 468-2435
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906444
FL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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