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Organization
CEDAR RIDGE INN, INC.
Active
Organization
CEDAR RIDGE INN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISSI ELLIOTT (MANAGEMENT)
(970) 516-1404
Entity
Organization
Contact information
Practice address
800 SAGUARO TRL, FARMINGTON, NM 87401-9632
(505) 598-6000
(505) 598-6009
Mailing address
800 SAGUARO TRL, FARMINGTON, NM 87401-9632
(505) 598-6000
(505) 598-6009
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1007
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28985010
—
NM
Enumeration date
07/12/2005
Last updated
12/29/2016
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