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Pine Leaf Investment Inc.

Pine Leaf Investment Inc. is a health care provider in Mc Rae, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 160 S First Ave, Mc Rae, GA 31055-3334, US
Practice Location Phone229-868-6473
Practice Location Fax229-868-2981
Legal Business NamePINE LEAF INVESTMENT INC.
Other Organization NameMCRAE MANOR NURSING HOME
Other Organization Name TypeDoing Business As Name
NPI ?1033123682
Entity TypeOrganization
Enumeration Date ? Jul 28, 2006
Last Update Date ? May 19, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Pine Leaf Investment Inc.

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 1-134-1797Georgia

legacy-id-icon Legacy Provider IDs of Pine Leaf Investment Inc.

Provider IdIssuer StateIssuer TypeIssuer
000141853AGeorgiaMedicaid

official-icon Authorized Official of Pine Leaf Investment Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Pine Leaf Investment Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Terrell Buford Cook
Authorized Official Title/PositionCOO
Authorized Official Phone Number229-868-7406