| NPI | 1609675172 |
|---|---|
| Doing Business As | RIDGE ROAD ASSISTED LIVING |
| Doing Business As | COUNTRY LANE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | TREVA PITTS Owner 443-852-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |