Pine Lane Estates LLC
NPI #1104976356 in Yankton, South Dakota
Provider Information
- NPI Number
- 1104976356
- Entity Type
- Organization
- Organization Name
- Pine Lane Estates LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2905 DOUGLAS AVE
- City
- Yankton
- State
- South Dakota
- ZIP Code
- 57078
- Phone
- (605) 665-7255
Authorized Official
- Name
- MRS. DEANNA JO LOECKER
- Title
- ADMINISTRATOR
- Phone
- (605) 665-7255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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