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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
297 SW COUNTY ROAD 300 MAYO, FL 32066 US
Tel: 386-294-5050 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL9863 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
140629900 | FL | 05 | |
678902100 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin