Organization · Type 2 NPI

Pine Ridge Extended Care Center, LLC

Respite Care · Pagosa Springs, CO

NPI number 1336206010 Active

About NPI 1336206010

Pine Ridge Extended Care Center, LLC's National Provider Identifier is 1336206010, issued on Jan 2, 2007. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Pagosa Springs, CO. The record was last updated on Aug 22, 2020.