Pine Ridge Residence Inc
Pine Ridge Residence Inc is an Intellectual Disabilities Intermediate Care Facility in Bagley, Minnesota. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
503 Hallan AveBagley, MN 56621-0029
Phone: (218) 694-6716
Fax: (218) 694-3799
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1811192271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Blooflat — Administrator · (218) 694-6716 |
| NPI enumerated | June 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 29, Bagley, MN 56621-0029 |