Organization
LONE PINE RIDGE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
55 S PROFESSIONAL WAY, PAYSON, UT 84651-5637
(801) 465-9211
Mailing address
55 S PROFESSIONAL WAY, PAYSON, UT 84651-5637
(801) 465-9211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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