Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CarePINE RIDGE EXTENDED CARE CENTER
Assisted Living Facility
Pagosa Springs, Colorado
Provider NPI: 1922005644
Organization Information:Organization Name: PINE RIDGE EXTENDED CARE CENTER
Practice Location:
119 BASTILLE DR PAGOSA SPRINGS, CO 81147 US
Tel: 970-731-4330 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
119 BASTILLE DR PAGOSA SPRINGS, CO 81147 US
Tel: 970-731-4330 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CO | AL0228 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 04143434 | CO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin