| NPI | 1588105308 |
|---|---|
| Doing Business As | PINE RIDGE ALZHEIMERS SPECIAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | TRENT JOHNSON Manager 469-804-3716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |