| NPI | 1134116825 |
|---|---|
| Doing Business As | PINECREST GUEST HOME |
| Entity Type | Organization |
| Authorized Contact | GEORGE RON GUINS Member/Manager 318-686-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 366) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |