Pine Leaf Investment Inc.

NPI #1457365017 in Madison, Georgia

Provider Information

NPI Number
1457365017
Entity Type
Organization
Organization Name
Pine Leaf Investment Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 28, 2006
Last Updated
May 19, 2013

Practice Location

Address
2036 S MAIN ST
State
Georgia
ZIP Code
30650-2054
Phone
(706) 342-3200

Authorized Official

Name
TERRELL BUFORD COOK
Title
COO
Phone
(229) 868-7406

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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