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Organization

PINEVIEW MANOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID BUTLER (OWNER)
(740) 289-4209
Entity
Organization

Contact information

Practice address
4136 GERMANY RD, BEAVER, OH 45613-9518
(740) 226-3074
(740) 226-1243
Mailing address
4136 GERMANY RD, BEAVER, OH 45613-9518
(740) 226-3074
(740) 226-1243

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2389
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0064880
OH
Enumeration date
09/27/2005
Last updated
08/22/2020
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