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Contact Information

PINE MANORS INC
22195 STATE 34
NEVIS, MN56467
 Phone: 218-732-4337
 Fax: 218-732-0399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for PINE MANORS INC

NPI Number 1568560902
LBN Legal business name PINE MANORS INC
Authorized official RACHEL MUELLER - (DIRECTOR CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 8019182CDT
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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