Organization
HIDDEN PINES ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE MEDINA (OWNDER/ADMINISTRATOR)
(352) 854-7171
Entity
Organization
Contact information
Practice address
1840 SW 31ST AVENUE, OCALA, FL 34474
(352) 854-7171
(352) 854-1981
Mailing address
1840 SW 31ST AVENUE, OCALA, FL 34474
(352) 854-7171
(352) 854-1981
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140415600
—
FL
Enumeration date
09/24/2010
Last updated
09/24/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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