Organization
NIC 15 PINE ROCK MANOR LEASING LLC
Active
Other names
Pine Rock Manor
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BOETHEL (CEO)
(469) 304-5033
Entity
Organization
Contact information
Practice address
3 DENNY HILL RD, WARNER, NH 03278-4505
(603) 456-3181
Mailing address
2901 DALLAS PKWY, 380, PLANO, TX 75093-5980
(469) 304-5033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
02876
NH
Other
Enumeration date
03/12/2014
Last updated
03/26/2014
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