NPI | 1568223014 |
---|---|
Doing Business As | RIDGELINE PEDIATRIC |
Entity Type | Organization |
Authorized Contact | MICHAEL LYMAN CEO/President 530-477-3378 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-01-22 |