Provider Demographics
NPI:1477216026
Name:ALBERTS MANOR, INC.
Entity Type:Organization
Organization Name:ALBERTS MANOR, INC.
Other - Org Name:ALBERTS MANOR AND SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:772-626-3500
Mailing Address - Street 1:2766 SW SAVONA BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-4113
Mailing Address - Country:US
Mailing Address - Phone:772-626-3500
Mailing Address - Fax:772-212-7033
Practice Address - Street 1:2766 SW SAVONA BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-4113
Practice Address - Country:US
Practice Address - Phone:772-626-3500
Practice Address - Fax:772-212-7033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty