Organization · Type 2 NPI
Ridgewood Manor
Adult Care Home Facility · Elk River, MN
NPI number
1407280720
Active
Practice location
10038 215th Ave NW
Elk River, MN 55330-8519
Fax (267) 350-9164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1066808-1-AFC (MN) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1407280720
Ridgewood Manor's National Provider Identifier is 1407280720, issued on Aug 22, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Elk River, MN. The record was last updated on Aug 22, 2013.