| NPI | 1245568641 |
|---|---|
| Doing Business As | PINE PARK RETIREMENT INN |
| Entity Type | Organization |
| Authorized Contact | NOELLE BICKEL Licensing Specialist 206-298-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-12-08 |