Pine Ridge Terrace Manor LLC
NPI #1528676111 in Elizabeth, Colorado
Provider Information
- NPI Number
- 1528676111
- Entity Type
- Organization
- Organization Name
- Pine Ridge Terrace Manor LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 20, 2020
- Last Updated
- Sep 15, 2020
Practice Location
Authorized Official
- Name
- MR. ALEXANDER M LAGASCA
- Title
- ADMINISTRATOR
- Phone
- (720) 398-9787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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