# PINEY PARTNERS LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Village of Laurel Run
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487760765
- **Authorized official:** MR. LARRY DEAN COTTLE (CEO)
- **Authorized official phone:** (717) 352-2721

## Contact information

- **Practice address:** 6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
- **Practice address phone:** (717) 352-2721
- **Practice address fax:** (717) 352-2142
- **Mailing address:** 6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
- **Mailing address phone:** (717) 352-2721
- **Mailing address fax:** (717) 352-2142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 420102 | PA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 07/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001805560-0001 | — | PA |
