| NPI | 1518383710 |
|---|---|
| Doing Business As | PINE ROCK MANOR |
| Entity Type | Organization |
| Authorized Contact | PAUL BOETHEL CEO 469-304-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NH 02876) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-26 |