# COUNTY OF LINCOLN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Crest Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538157896
- **Authorized official:** MR. TIMOTHY MEEHEAN NHA (ADMINISTRATOR)
- **Authorized official phone:** (715) 536-0355

## Contact information

- **Practice address:** 2100 E 6TH ST, MERRILL, WI 54452-3107
- **Practice address phone:** (715) 536-0355
- **Practice address fax:** (715) 539-3202
- **Mailing address:** 2100 E 6TH ST, MERRILL, WI 54452-3107
- **Mailing address phone:** (715) 536-0355
- **Mailing address fax:** (715) 539-3202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2368 | WI | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 12/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20136600 | — | WI |