Provider First Line Business Practice Location Address:
RIDGECREST RETIREMENT, LLC
Provider Second Line Business Practice Location Address:
1000 RIDGECREST LN.
Provider Business Practice Location Address City Name:
MOUNT AIRY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-786-9100
Provider Business Practice Location Address Fax Number:
336-786-2899
Provider Enumeration Date:
03/13/2007