| NPI | 1245576073 |
|---|---|
| Doing Business As | GOLDPINE HOME |
| Entity Type | Organization |
| Authorized Contact | DUSTIN R HOLLOWAY President/Owner 218-444-4346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |