Lone Pine Ridge Healthcare, Inc.

NPI #1700485034 in Payson, Utah

Provider Information

NPI Number
1700485034
Entity Type
Organization
Organization Name
Lone Pine Ridge Healthcare, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 19, 2020
Last Updated
Oct 19, 2020

Practice Location

Address
55 S PROFESSIONAL WAY
City
Payson
State
Utah
ZIP Code
84651-5637
Phone
(801) 465-9211

Authorized Official

Name
SOON BURNAM
Title
TREASURER
Phone
(949) 540-1249

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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