| NPI | 1437117272 |
|---|---|
| Doing Business As | PINE TREE LODGE NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES BRUCE STRATTON President 936-336-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 111739) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-02-10 |