| NPI | 1700499746 |
|---|---|
| Doing Business As | RIDGELINE PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYMAN President/CEO 435-881-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-02-21 |