| NPI | 1417789660 |
|---|---|
| Doing Business As | PINE GROVE SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | TERRI BAKER Finance And Licensing Coordinator 564-203-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |