| NPI | 1336206010 |
|---|---|
| Doing Business As | PINE RIDGE EXTENDED CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY BROOKS Administrator 970-731-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: CO 0105) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |