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Organization

CITRUS PINES ADULT FAMILY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL G KERN (PRESIDENT)
(352) 513-2024
Entity
Organization

Contact information

Practice address
5618 N LECANTO HWY, BEVERLY HILLS, FL 34465-2610
(352) 513-2024
Mailing address
5618 N LECANTO HWY, BEVERLY HILLS, FL 34465
(352) 513-2024

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
41679
FL

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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