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Contact Information

PINE LEAF INVESTMENT INC.
125 QUIET OAKS DRIVE
CRAWFORD, GA30630
 Phone: 706-743-5452
 Fax: 706-743-5655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PINE LEAF INVESTMENT INC.

NPI # 1437163912
LBN Legal business name PINE LEAF INVESTMENT INC.
Authorized official TERRELL COOK - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2006
Last updated 05/19/2013 - About 13 years ago
Identifiers
GA License # 1-109-173
GA Medicaid 000370851A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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