Pine Leaf Investment Inc.

NPI 1033123682 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1033123682
Enumeration Date 07/28/2006
Last Updated 05/19/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TERRELL BUFORD TERRELL
Position COO
Phone (229) 868-6473
Fax (229) 868-2981
Practice Location
160 S FIRST AVE
MC RAE GA, 31055-3334, US
Phone (229) 868-6473
Fax (229) 868-2981
Business Location
PO BOX 179
MC RAE GA, 31055-0179, US
Phone (229) 868-6473
Fax (229) 868-2981
Toxanomy
Taxonomy Code 314000000X
License State Georgia
License Number 1-134-1797
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According to our database, Pine Leaf Investment Inc. NPI is 1033123682, taxonomy code is 314000000X and license number is 1-134-1797, license state is located at Georgia. Pine Leaf Investment Inc. physically located at 160 S First Ave, Mc Rae GA, 31055-3334. NPI Number 1033115704 has the healthcare provider type.

1033123682 NPI number is provided on an as is basis without warranty of any kind. 1033123682 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Leaf Investment Inc. are for informational purposes only.