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Pine Ridge Residence Inc
Intellectual Disabilities Intermediate Care Facility in Bagley, Minnesota
NPI 1811192271

Pine Ridge Residence Inc is a Intellectual Disabilities Intermediate Care Facility based in Bagley, MN. Pine Ridge Residence Inc practices in Bagley, MN. The NPI Number for Pine Ridge Residence Inc is 1811192271 and holds a License No. (Minnesota).

The current practice location address for Pine Ridge Residence Inc is 503 Hallan Ave, Bagley, MN and can be reached out via phone at 218-694-6716 and via fax at 218-694-3799.

Location: 503 Hallan Ave, Bagley, MN, 56621-0029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811192271
Provider Name
Pine Ridge Residence Inc
Credential
Provider Entity Type
Organization
Address
503 Hallan Ave, Bagley, MN, 56621-0029
Phone Number
218-694-6716
Fax Number
218-694-3799
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
503 Hallan Ave
City
Bagley
State
Minnesota
Zip
56621-0029
Phone Number
218-694-6716
Fax Number
218-694-3799
person
Provider Business Mailing Address Details
Address
503 Hallan Ave
City
Bagley
State
Minnesota
Zip
56621-0029
Phone Number
218-694-6716
Fax Number
218-694-3799
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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