| NPI | 1548412976 |
|---|---|
| Doing Business As | PINECREST MANOR |
| Entity Type | Organization |
| Authorized Contact | CAROL A DAVIS CEO/Administrator 815-734-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2009-01-20 |