Organization
PINES NURSING HOME 77 INC
Active
Other names
Pines Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULES AST NHA (EXECUTIVE DIRECTOR)
(305) 893-1102
Entity
Organization
Contact information
Practice address
301 NE 141ST ST, MIAMI, FL 33161-2837
(305) 893-1102
(305) 893-2519
Mailing address
301 NE 141ST ST, MIAMI, FL 33161-2837
(305) 893-1102
(305) 893-2519
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF 1442096
FL
Other
Enumeration date
07/11/2005
Last updated
08/22/2020
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