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 10 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
Remove 1033123682 NPI Number
 

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.

Sponsored links

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.