PINE RIDGE MANAGEMENT WA LLC NPI 1588105308

NPI Information

PINE RIDGE MANAGEMENT WA LLC is an assisted living facility in Spokane, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PINE RIDGE MANAGEMENT WA LLC NPI is 1588105308. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Ridge Alzheimers Special Care Center.

The provider's business location address is:

5615 WEST UMATILLA
SPOKANE, WA
ZIP 99206
Phone: (509) 924-4388

The provider's authorized official is Trent Johnson .
The authorized official title is Manager and has the following contact phone number (469) 804-3716.

The CLIA number assigned to this NPI record is 50D2122299 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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