Organization
SHADY PINES ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS NILDA PEREZ PEREZ (ADMINISTRATOR)
(321) 947-0265
Entity
Organization
Contact information
Practice address
101 BIT CT, KISSIMMEE, FL 34743-6303
(321) 947-0265
Mailing address
101 BIT CT, KISSIMMEE, FL 34743-6303
(321) 947-0265
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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