Pine Shadows Retirement Manor
Organization Active NPI Assisted Living Facility · Sylvester, GA
NPI 1992284483 · NPPES record last updated Aug 7, 2018
Key facts
- NPI
- 1992284483
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- PINE SHADOWS RETIREMENT MANOR
- Practice address
- 202 E Bryant Dr
Sylvester, GA 31791-7350 - Phone
- (229) 776-7565
- Fax
- (229) 776-1855
- NPI assigned
- Aug 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Joyce Williams, RN
- Title
- Administrator
- Phone
- (229) 776-7565
National Provider Directory
Locations
202 E Bryant Dr
Sylvester, GA 31791
Phone (229) 776-7565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
202 E Bryant Dr
Sylvester, GA 31791-7350
Mailing address
202 E Bryant Dr
Sylvester, GA 31791-7350
Phone (229) 776-7565
Other providers in Sylvester, GA
- Pharmacy on Main LLC
- Phoebe Worth Medical Center
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- Phoebe Worth Medical Center, Inc
- Phoebe Worth Medical Center, Inc
- Premiercare @Home LLC
- Premiercare Transportation LLC
- Pruitthealth - Sylvester, LLC
- Sherri Purifoy
- Medardo M Ramos
All providers in Sylvester, GA · Assisted Living Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.