| NPI | 1710537998 |
|---|---|
| Doing Business As | CLEVELAND PINES |
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEFURIO Treasurer 704-355-3304 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-09-15 |