| NPI | 1699114066 |
|---|---|
| Doing Business As | GLENVILLE PINES ALF |
| Entity Type | Organization |
| Authorized Contact | ELIDA M REYES-KERR Owner 321-984-7568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12126) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |