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General NPI Number Information
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NPI Number | 1922572874
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Entity Type | Organization
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Legal Business Name | RIDGE CARE SENIOR LIVING, INC.
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 250 HOPKINS RD
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City | KERNERSVILLE
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State | NC
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Zip | 27284-9314
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Country | US
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Telephone | 336-993-1881
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Fax | 336-993-2592
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Provider Business Mailing Address
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Address Line | 100 N CHERRY ST STE 605
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City | WINSTON SALEM
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State | NC
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Zip | 27101-4016
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Country | US
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Telephone | 336-993-7555
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Fax | 336-993-6111
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Authorized Official
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Title or Position | VP FINANCE
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Name | CINDY ANN NEAGLE
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Credential |
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Telephone | 336-993-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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