Organization
LITHIA PINECREST PLACE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEYEMI ONIKEKU (ADMINISTRATOR)
(617) 699-4418
Entity
Organization
Contact information
Practice address
10637 LITHIA PINECREST RD, LITHIA, FL 33547-3222
(617) 699-4418
Mailing address
8900 N ARMENIA AVE STE 206, TAMPA, FL 33604-1072
(617) 699-4418
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
11/28/2023
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