| NPI | 1205902079 |
|---|---|
| Doing Business As | PINE TREE VILLA |
| Entity Type | Organization |
| Authorized Contact | CHARLIE E TREFZGER Manager 828-324-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-092-121) |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2020-08-22 |