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Organization

PINE VIEW MANOR, INC.

Active
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Organization

PINE VIEW MANOR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY B DOERHOFF (ADMINISTRATOR)
(660) 783-2118
Entity
Organization

Contact information

Practice address
307 N PINEVIEW ST, STANBERRY, MO 64489-1509
(660) 783-2118
(660) 783-2691
Mailing address
307 N PINEVIEW ST, STANBERRY, MO 64489-1509
(660) 783-2118
(660) 783-2691

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
031426
MO

Other

Enumeration date
08/17/2012
Last updated
08/17/2012
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