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PINEHOUSE, INC.

Assisted Living Facility

Mayo, Florida

Provider NPI: 1306810403

Organization Information:
Organization Name:  PINEHOUSE, INC.


Practice Location:
297 SW COUNTY ROAD 300  MAYO, FL 32066 US
Tel: 386-294-5050  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
FLAL9863

Other Provider Identifiers:

IssuerNumberStateType
140629900FL05
678902100FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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