| NPI | 1871580076 |
|---|---|
| Doing Business As | PINE LANE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MILLER President C Eo 479-636-5716 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 720) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2008-06-13 |