| NPI | 1477208684 |
|---|---|
| Doing Business As | RIDGELINE PEDIATRIC DAY HEALTH AND RESPITE SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BLAIR LYMAN President/CEO/Administrator 435-881-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |