Pine Crest Village LLC

NPI #1851582597 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number
1851582597
Entity Type
Organization
Organization Name
Pine Crest Village LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 7, 2007
Last Updated
Aug 7, 2007

Practice Location

Address
1241 N 18TH AVE
ZIP Code
54235-3535
Phone
(920) 746-1280

Authorized Official

Name
MRS. AMBER A MAY
Title
FACILITY MANAGER
Phone
(920) 746-1280

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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