Pine Street Snf Operations LLC

NPI #1134984081 in Sebring, Florida

Provider Information

NPI Number
1134984081
Entity Type
Organization
Organization Name
Pine Street Snf Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 20, 2024
Last Updated
Feb 20, 2024

Practice Location

Address
725 S PINE ST
State
Florida
ZIP Code
33870-3654
Phone
(863) 385-0161

Authorized Official

Name
BEREL FOLLMAN
Title
AUTHORIZED MANAGER
Phone
(732) 439-3991

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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