Organization
PINEHAVEN, INC
Active
Other names
Pine Haven Heritage Home
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E. SLICHTER (PRESIDENT)
(605) 574-4838
Entity
Organization
Contact information
Practice address
23776 PINE HAVEN DR, RAPID CITY, SD 57702-7407
(605) 348-2145
Mailing address
24102 JACOB MACA RD, HILL CITY, SD 57745-6547
(605) 574-4838
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11046
SD
Other
Enumeration date
02/03/2007
Last updated
08/22/2020
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