# PINECREST CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DNR TWO, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376849174
- **Legal business name:** DNR TWO, LLC
- **Authorized official:** SHAUNA ROBERTSON (MANAGER)
- **Authorized official phone:** (801) 296-5105

## Contact information

- **Practice address:** 1020 PINE ST, HUMBOLDT, KS 66748-1960
- **Practice address phone:** (620) 473-2393
- **Mailing address:** 500 N MARKET PLACE DR, SUITE 203, CENTERVILLE, UT 84014-1708
- **Mailing address phone:** (801) 296-5105
- **Mailing address fax:** (801) 382-1098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2011
- **Last updated:** 01/27/2011