Organization
PINE RIDGE TERRACE MANOR LLC
Active
Organization
PINE RIDGE TERRACE MANOR LLC
Active
Other names
Pine Ridge Terrace Manor Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER M LAGASCA (ADMINISTRATOR)
(720) 398-9787
Entity
Organization
Contact information
Practice address
378 S PEARL ST, ELIZABETH, CO 80107-7519
(720) 398-9787
(720) 696-7932
Mailing address
378 S PEARL ST, ELIZABETH, CO 80107-7519
(720) 398-9787
(720) 696-7932
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
09/15/2020
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