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PINE ACRES GOLDEN AGE CENTRE INC. NPI 1790234409


NPI Information

NPI: 1790234409
Provider Name: PINE ACRES GOLDEN AGE CENTRE INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5030 CUB LAKE DR
APOPKA, FL
ZIP 32703
Phone: (407) 298-4973
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PINE ACRES GOLDEN AGE CENTRE INC. is an assisted living facility in Apopka, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PINE ACRES GOLDEN AGE CENTRE INC. NPI is 1790234409. The provider is registered as an organization entity type.

The provider's business location address is:

5030 CUB LAKE DR
APOPKA, FL
ZIP 32703-942
Phone: (407) 298-4973
Fax: (407) 270-7879

The provider's authorized official is Veronica Henry .
The authorized official title is Ceo/owner and has the following contact phone number (407) 298-4973.

The enumeration date for this NPI number is 9/23/2016 and was last updated on 9/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL#6106FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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