Organization
GOODMAN LOSTUTTER LLC
Active
Other names
Pine Knoll Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI POE (ADMINISTRATOR)
(812) 537-4422
Entity
Organization
Contact information
Practice address
607 WILSON CREEK RD, LAWRENCEBURG, IN 47025-1074
(812) 537-4422
Mailing address
607 WILSON CREEK RD, LAWRENCEBURG, IN 47025-1074
(812) 537-4422
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
060011421
IN
Other
Enumeration date
02/01/2007
Last updated
05/27/2022
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