| NPI | 1447756655 |
|---|---|
| Doing Business As | GLENVILLE PINES II ASSISTED LIVING FACILITY LLC |
| Entity Type | Organization |
| Authorized Contact | ELIDA M REYES-KERR Administrator 321-258-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12461) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |