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Organization

LAKE RIDGE CARE CENTER OF BUFFALO, INC.

Active
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Organization

LAKE RIDGE CARE CENTER OF BUFFALO, INC.

Active
Other names
Lake Ridge Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
SEELOCHANI STADTHERR (AVP, REVENUE CYCLE MANAGEMENT)
(952) 855-5041
Entity
Organization

Contact information

Practice address
310 LAKE BLVD S, BUFFALO, MN 55313-1456
(952) 855-5041
Mailing address
7171 OHMS LN, EDINA, MN 55439-2142
(952) 855-5041

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—

Other

Enumeration date
04/15/2024
Last updated
07/23/2026
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