Pine View Manor, Inc.

NPI #1386992584 in Stanberry, Missouri

Provider Information

NPI Number
1386992584
Entity Type
Organization
Organization Name
Pine View Manor, Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Aug 17, 2012
Last Updated
Aug 17, 2012

Practice Location

Address
307 N PINEVIEW ST
ZIP Code
64489-1509
Phone
(660) 783-2118

Authorized Official

Name
MR. JERRY B DOERHOFF
Title
ADMINISTRATOR
Phone
(660) 783-2118

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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