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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