PINE CREST MANOR K&V INC
Nursing at County Road 220, Middleburg, FL

License number
Florida AL7613
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. VEERASAMY VEERAMAH RN
Title: ASST. ADMINISTRATOR
Phone: (904) 272-2609
Address
Address
2835 County Road 220, Middleburg, FL 32068
National Provider ID: 1811335631
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Pine Crest Manor K & V, Inc

Middleburg, FL  -  Jacksonville, FL

Industry:
Business Services at Non-Commercial Site
Registration:
Jan 22, 1992
Addresses:
2835 County Rd 220, Middleburg, FL 32068
7247 Secret Wood Trl, Jacksonville, FL 32216
State ID:
V08808
Business type:
Domestic for Profit Corporation
Directors:
Veerasamy Veeramah (Director),Veeramah Purnwatie Devi (Director),Purnwatie D. Veeramah Director, inactive

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