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Organization

PINECREST CONVALESCENT CENTER, LLC

Active
Other names
Pinecrest Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID GOLD LCSW, MBA (ADMINISTRATOR)
(305) 893-1170
Entity
Organization

Contact information

Practice address
13650 NE 3RD CT, NORTH MIAMI, FL 33161-3626
(305) 893-1170
(305) 899-2817
Mailing address
13650 NE 3RD CT, NORTH MIAMI, FL 33161-3626
(305) 893-1170
(305) 899-2817

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
13413
FL
314000000X
Skilled Nursing Facility
Primary
14400961
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022575400
FL
Enumeration date
08/08/2006
Last updated
01/27/2015
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