| NPI | 1063881647 |
|---|---|
| Doing Business As | PINE SHADOW RETREAT |
| Entity Type | Organization |
| Authorized Contact | STANLEY S STUDER CEO 210-828-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |