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Pine Ridge Extended Care Center
Assisted Living Facility in Pagosa Springs, Colorado
NPI 1922005644

Pine Ridge Extended Care Center is an Assisted Living Facility based in Pagosa Springs, CO. Pine Ridge Extended Care Center practices in Pagosa Springs, CO. The NPI Number for Pine Ridge Extended Care Center is 1922005644 and holds a License No. AL0228 (Colorado).

The current practice location address for Pine Ridge Extended Care Center 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922005644
Provider Name
Pine Ridge Extended Care Center
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
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04143434 05 CO
institution
Provider Business Practice Location Address Details
Address
119 Bastille Dr
City
Pagosa Springs
State
Colorado
Zip
81147-9388
Phone Number
970-731-4330
Fax Number
970-731-4046
person
Provider Business Mailing Address Details
Address
119 Bastille Dr
City
Pagosa Springs
State
Colorado
Zip
81147-9388
Phone Number
970-731-4330
Fax Number
970-731-4046
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL0228 (Colorado)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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