Organization
PINECREST CARE CENTER LLC
Active
Parent organization
DNR TWO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DNR TWO, LLC
Authorized official
SHAUNA ROBERTSON (MANAGER)
(801) 296-5105
Entity
Organization
Contact information
Practice address
1020 PINE ST, HUMBOLDT, KS 66748-1960
(620) 473-2393
Mailing address
500 N MARKET PLACE DR, SUITE 203, CENTERVILLE, UT 84014-1708
(801) 296-5105
(801) 382-1098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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