Organization
PINE RIDGE REHABILITATION AND HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH GOTTLIEB (MANAGER OF THE MANAGER)
(970) 731-4330
Entity
Organization
Contact information
Practice address
119 BASTILLE DR, PAGOSA SPRINGS, CO 81147-9388
(970) 731-4330
Mailing address
575 ROUTE 70 FL 2, BRICK, NJ 08723-4042
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/01/2023
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