NPI 1033123682

Pine Leaf Investment INC.

Organisation Skilled Nursing Facility Mc Rae, GA

Practice location

Address: 160 S First Ave, Mc Rae, GA 31055-3334
Phone: (229) 868-6473
Fax: (229) 868-2981
Mailing address: PO Box 179, Mc Rae, GA 31055-0179

Authorised official

Name: Terrell Buford Cook
Title: Coo
Phone: (229) 868-7406

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1-134-1797 (GA)

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1033123682
Entity type: Organization
NPI issued: 28 Jul 2006
Record last updated: 19 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.