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Organization

SPRING PINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VESNA SAKALAS (ADMINISTRATOR)
(321) 246-7484
Entity
Organization

Contact information

Practice address
1324 MILL SLOUGH RD, KISSIMMEE, FL 34744-2620
(321) 246-7486
(407) 870-7691
Mailing address
1324 MILL SLOUGH RD, KISSIMMEE, FL 34744-2620
(321) 246-7486
(407) 870-7691

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12580
FL

Other

Enumeration date
11/24/2014
Last updated
11/24/2014
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