Organization
PINE RIVER HEALTHCARE LLC
Active
Other names
Pine River Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L. BAKER (MANAGER)
(989) 681-3852
Entity
Organization
Contact information
Practice address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-3852
(989) 681-3856
Mailing address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-3852
(989) 681-3856
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
294020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4639839
—
MI
Enumeration date
06/01/2006
Last updated
02/25/2016
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