Jack Pines Healthcare LLC

NPI #1245023100 in Merrill, Wisconsin

Provider Information

NPI Number
1245023100
Entity Type
Organization
Organization Name
Jack Pines Healthcare LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 23, 2025
Last Updated
Aug 19, 2025

Practice Location

Address
2100 E 6TH ST
ZIP Code
54452-3107
Phone
(715) 536-0355

Authorized Official

Name
SOON BURNAM
Title
SECRETARY
Phone
(949) 540-1249

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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