| NPI | 1679174437 |
|---|---|
| Doing Business As | RIDGE MANOR PCH |
| Entity Type | Organization |
| Authorized Contact | ANNIE LUM Administrator 470-469-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |