Pine View Manor, Inc.

NPI #1578565578 in Stanberry, Missouri

Provider Information

NPI Number
1578565578
Entity Type
Organization
Organization Name
Pine View Manor, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 10, 2005
Last Updated
Nov 15, 2011

Practice Location

Address
307 N PINEVIEW STREET
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
Skilled Nursing Facility

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