| NPI | 1336287911 |
|---|---|
| Doing Business As | PINE HAVEN HERITAGE HOME |
| Entity Type | Organization |
| Authorized Contact | JAMES E. SLICHTER President 605-574-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 11046) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |