| NPI | 1083609960 |
|---|---|
| Doing Business As | PINECREST MANOR |
| Entity Type | Organization |
| Authorized Contact | FEROL J. LABASH CEO 815-734-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1676853) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-03-12 |