Organization
PINEAPPLE GARDEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WARNER (ADMINISTRATOR)
(321) 890-5373
Entity
Organization
Contact information
Practice address
1504 S FISKE BLVD, ROCKLEDGE, FL 32955-2515
(321) 890-5373
Mailing address
2800 AURORA RD STE G, MELBOURNE, FL 32935-2097
(321) 890-5373
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12582
FL
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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