Organization
PINE STREET ALF OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEREL FOLLMAN (AUTHORIZED MANAGER)
(732) 439-3991
Entity
Organization
Contact information
Practice address
725 S PINE ST, SEBRING, FL 33870-3654
(863) 385-0161
Mailing address
8123 NW 161ST TER, MIAMI LAKES, FL 33016-6659
(732) 439-3991
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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