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Organization

PINE RIDGE MANAGEMENT WA LLC

Active
Other names
Pine Ridge Alzheimers Special Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
TRENT JOHNSON (MANAGER)
(469) 804-3716
Entity
Organization

Contact information

Practice address
5615 WEST UMATILLA, SPOKANE, WA 99206
(509) 924-4388
Mailing address
200 CRESCENT CT STE 440, DALLAS, TX 75201-6964

Taxonomy

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

Other

Enumeration date
03/13/2017
Last updated
03/13/2017
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