Piney Ridge Blvd, LLC
NPI #1447901533 in Fruitland Park, Florida
Provider Information
- NPI Number
- 1447901533
- Entity Type
- Organization
- Organization Name
- Piney Ridge Blvd, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 11, 2022
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 36444 PINEY RIDGE BLVD
- City
- Fruitland Park
- State
- Florida
- ZIP Code
- 34731-5382
- Phone
- (352) 474-2696
Authorized Official
- Name
- MR. ADAM ANTHONY
- Title
- MANAGER
- Phone
- (407) 683-6766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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