| NPI | 1053463752 |
|---|---|
| Doing Business As | RIDGELINE PEDIATRIC DAY HEALTH AND RESPITE SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYMAN Owner/President/CEO 435-881-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: CA 550000017) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-02-21 |