Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sophies Manor Assisted Living, Inc

Organization Assisted Living Facility · NPI 1114058633

Sophies Manor Assisted Living, Inc is an Assisted Living Facility in Pine City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17500 Ranch Dr
Pine City, MN 55063-5502
Phone: (320) 629-2064
Fax: (320) 629-4918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 334231 (MN)

Record details

NPI number1114058633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Holt — Administrator · (320) 629-2064
NPI enumeratedMarch 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17500 Ranch Dr, Pine City, MN 55063-5502

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