| NPI | 1942348198 |
|---|---|
| Doing Business As | PINE KNOLL ASSISTED LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | LORI POE Administrator 812-537-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IN 060011421) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-05-27 |