1240 Pinebrook Road LLC
NPI #1134143845 in Venice, Florida
Provider Information
- NPI Number
- 1134143845
- Entity Type
- Organization
- Organization Name
- 1240 Pinebrook Road LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUNBRIDGE HEALTHCARE CORPORATION
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Oct 1, 2009
Practice Location
Authorized Official
- Name
- WILLIAM A MATHIES
- Title
- PRESIDENT DIRECTOR
- Phone
- (505) 821-3355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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