| NPI | 1104005016 |
|---|---|
| Doing Business As | PINE GROVE HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN COLLERAN President 440-614-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2014-06-16 |