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Organization
PINE RIVER HEALTHCARE LLC
Active
Organization
PINE RIVER HEALTHCARE LLC
Active
Other names
Pine River Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L. BAKER (MANAGER)
(989) 681-3852
Entity
Organization
Contact information
Practice address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-3852
(989) 681-3856
Mailing address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-3852
(989) 681-3856
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
294020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4639839
—
MI
Enumeration date
06/01/2006
Last updated
02/25/2016
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