institution
Pine Ridge Extended Care Center, Llc
Respite Care in Pagosa Springs, Colorado
NPI 1336206010

Pine Ridge Extended Care Center, Llc is a Respite Care based in Pagosa Springs, CO. Pine Ridge Extended Care Center, Llc practices in Pagosa Springs, CO. The NPI Number for Pine Ridge Extended Care Center, Llc is 1336206010 and holds a License No. 0105 (Colorado).

The current practice location address for Pine Ridge Extended Care Center, Llc is 119 Bastille Dr, Pagosa Springs, CO and can be reached out via phone at 970-731-4330 and via fax at 970-731-4046.

Location: 119 Bastille Dr, Pagosa Springs, CO, 81147-9388
institution
Provider Profile Details
NPI Number
1336206010
Provider Name
Pine Ridge Extended Care Center, Llc
Credential
Provider Entity Type
Organization
Address
119 Bastille Dr, Pagosa Springs, CO, 81147-9388
Phone Number
970-731-4330
Fax Number
970-731-4046
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04183539 05 CO
institution
Provider Business Practice Location Address Details
Address
119 Bastille Dr
City
State
Zip
81147-9388
Phone Number
970-731-4330
Fax Number
970-731-4046
person
Provider Business Mailing Address Details
Address
119 Bastille Dr
City
State
Zip
81147-9388
Phone Number
970-731-4330
Fax Number
970-731-4046
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
0105 (Colorado)
Definition
Definition to come.
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