Pine Crest Village Llc

LBN: Pine Crest Village Llc
Pine Crest Village Llc is an health care organization with primary practice located at 1241 N 18Th Ave , Sturgeon Bay WI 54235-3535. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Pine Crest Village Llc can be contacted via phone (920) 746-1280, or through May, Amber A via phone (920) 746-1280.

Contact Information

Primary practice address
1241 N 18Th Ave Sturgeon Bay WI 54235-3535
Fax: (920) 746-9404
Website:
Authorized official contact:
Name: May, Amber A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 10344 Wisconsin

Profile Details

NPI number 1851582597
LBN Legal business name Pine Crest Village Llc
DBA Doing business as
Authorized official May, Amber A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2007
Last updated Aug 7th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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