Organization
GREENVILLE PARTNERSHIP LTD
Active
Other names
Pine Lake Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D. MITCHELL (PRESIDENT)
(850) 386-2522
Entity
Organization
Contact information
Practice address
HIGHWAY 90 EAST, GREENVILLE, FL 32331
(850) 948-4601
(850) 948-1702
Mailing address
2851 REMINGTON GREEN CIR, SUITE D, TALLAHASSEE, FL 32308-1505
(850) 386-2522
(850) 386-1552
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Enumeration date
08/03/2005
Last updated
01/08/2008
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