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Organization

PINE LEAF INVESTMENT INC.

Active
Other names
QUIET OAKS HEALTH CARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
TERRELL BUFORD COOK (COO)
(229) 868-7406
Entity
Organization

Contact information

Practice address
125 QUIET OAKS DRIVE, CRAWFORD, GA 30630
(706) 743-5452
(706) 743-5655
Mailing address
125 QUIET OAKS DRIVE, CRAWFORD, GA 30630
(706) 743-5452
(706) 743-5655

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-109-173
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000370851A
GA
Enumeration date
07/28/2006
Last updated
05/19/2013
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