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 (ASSOCIATE VP OF REVENUE CYCLE MGMT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
310 LAKE BLVD S, BUFFALO, MN 55313-1456
(952) 855-5041
Mailing address
310 LAKE BLVD S, BUFFALO, MN 55313-1456
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
11/21/2025
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