# PINE RIVER HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine River Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073550885
- **Authorized official:** JANET L. BAKER (MANAGER)
- **Authorized official phone:** (989) 681-3852

## Contact information

- **Practice address:** 1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
- **Practice address phone:** (989) 681-3852
- **Practice address fax:** (989) 681-3856
- **Mailing address:** 1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
- **Mailing address phone:** (989) 681-3852
- **Mailing address fax:** (989) 681-3856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 294020 | MI | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 02/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4639839 | — | MI |