NPI 1134143845
1240 Pinebrook Road LLC
Practice location
- Address
- 1240 Pinebrook Rd, Venice, FL 34285-6421
- Phone
- (941) 488-6733
- Fax
- (941) 484-7924
- Mailing address
- 101 Sun Ave NE Compliance Department, Albuquerque, NM 87109-4373
Authorised official
- Name
- William a Mathies
- Title
- President Director
- Phone
- (505) 821-3355
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1134143845
- Entity type
- Organization
- NPI issued
- 26 Jul 2006
- Record last updated
- 1 Oct 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.