| NPI | 1649225392 |
|---|---|
| Doing Business As | PINE MANOR HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUCE J MACKEY CEO 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3052) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-05-19 |