Pinecrest LLC
NPI #1134116825 in Hazlehurst, Mississippi
Provider Information
- NPI Number
- 1134116825
- Entity Type
- Organization
- Organization Name
- Pinecrest LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 133 PINE ST
- City
- Hazlehurst
- State
- Mississippi
- ZIP Code
- 39083-2309
- Phone
- (601) 894-1411
Authorized Official
- Name
- MR. GEORGE RON GUINS
- Title
- MEMBER/MANAGER
- Phone
- (318) 686-0040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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