Golden Ridge Assited Living
NPI #1336816222 in Lead, South Dakota
Provider Information
- NPI Number
- 1336816222
- Entity Type
- Organization
- Organization Name
- Golden Ridge Assited Living
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 27, 2021
- Last Updated
- Aug 27, 2021
Practice Location
- Address
- 200 MONTANA AVE
- City
- Lead
- State
- South Dakota
- ZIP Code
- 57754-1051
- Phone
- (605) 639-0115
Authorized Official
- Name
- ROBERT BAGDON
- Title
- COO
- Phone
- (724) 961-6061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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