| NPI | 1376416875 |
|---|---|
| Doing Business As | PINE LODGE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ASHOK GUPTA CEO 954-702-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |