Organization
HIDDEN PINES RETIREMENT CENTER, INC.
Active
Other names
Dale Medina d/b/a Hidden Pines Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALE ELAINE MEDINA (ADMINISTRATOR)
(352) 854-7171
Entity
Organization
Contact information
Practice address
1840 SW 31ST AVE, OCALA, FL 34474-2904
(352) 854-7171
(352) 854-1981
Mailing address
PO BOX 771, OCALA, FL 34478-0771
(352) 854-7171
(352) 854-1981
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140415600
—
FL
Enumeration date
03/11/2011
Last updated
03/11/2011
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