Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PINE RIDGE RESIDENCE INC
Active OrganizationPINE RIDGE RESIDENCE INC is a ICF/Individuals with Intellectual Disabilities organization located in BAGLEY, Minnesota. NPI 1811192271 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · BAGLEY, MN
Registration Details
- NPI Number
- 1811192271
- Provider Type
- Organization
- NPI Issued
- Jun 18, 2007 (19.196769035543 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
503 HALLAN AVEBAGLEY, MN, 566210029Browse MN providers · Browse ZIP 56621
- Phone
- 2186946716
- Fax
- 2186943799
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.