| NPI | 1104214352 |
|---|---|
| Doing Business As | STONERIDGE NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | ROSS PONTHIE Managing Member 318-443-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-07-23 |