| NPI | 1861612681 |
|---|---|
| Doing Business As | PINECREST MANOR |
| Entity Type | Organization |
| Authorized Contact | RONALD M WEHTJE VP CFO 407-975-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100070) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |