| NPI | 1538157896 |
|---|---|
| Doing Business As | PINE CREST NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MEEHEAN Administrator 715-536-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2368) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-12-06 |