# PINEHURST OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Greens At Pinehurst Rehabilitation & Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528544145
- **Authorized official:** MR. JACOB S. STERN (MANAGER)
- **Authorized official phone:** (732) 659-1353

## Contact information

- **Practice address:** 205 RATTLESNAKE TRL, PINEHURST, NC 28374-7639
- **Practice address phone:** (910) 295-1781
- **Mailing address:** 15 AMERICA AVE UNIT 304, LAKEWOOD, NJ 08701-4582
- **Mailing address phone:** (732) 659-1353
- **Mailing address fax:** (866) 306-0259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0230 | NC | Yes |

## Other

- **Enumeration date:** 07/17/2018
- **Last updated:** 07/17/2018
