NPI | 1538658489 |
---|---|
Doing Business As | PINE GROVE HEALTHCARE CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN COLLERAN President 440-343-2053 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1405N) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2018-05-07 |