Organization
JACK PINES HEALTHCARE LLC
Active
Other names
Pine Crest Health and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2100 E 6TH ST, MERRILL, WI 54452-3107
(715) 536-0355
Mailing address
2100 E 6TH ST, MERRILL, WI 54452-3107
(715) 536-0355
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
08/19/2025
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