Organization
COUNTY OF LINCOLN
Active
Other names
Pine Crest Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MEEHEAN NHA (ADMINISTRATOR)
(715) 536-0355
Entity
Organization
Contact information
Practice address
2100 E 6TH ST, MERRILL, WI 54452-3107
(715) 536-0355
(715) 539-3202
Mailing address
2100 E 6TH ST, MERRILL, WI 54452-3107
(715) 536-0355
(715) 539-3202
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2368
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20136600
—
WI
Enumeration date
10/11/2005
Last updated
12/06/2011
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