Pine Ridge Residence Inc

LBN: Pine Ridge Residence Inc
Pine Ridge Residence Inc is an health care organization with primary practice located at 503 Hallan Ave , Bagley MN 56621-0029. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Pine Ridge Residence Inc can be contacted via phone (218) 694-6716, or through Blooflat, Donald L via phone (218) 694-6716.

Contact Information

Primary practice address
503 Hallan Ave Bagley MN 56621-0029
Phone: (218) 694-6716
Fax: (218) 694-3799
Website:
Map and Directions
Authorized official contact:
Name: Blooflat, Donald L
Phone: (218) 694-6716

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1811192271
LBN Legal business name Pine Ridge Residence Inc
DBA Doing business as
Authorized official Blooflat, Donald L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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