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Organization
BLUE RIDGE SNF OPERATIONS LLC
Active
Organization
BLUE RIDGE SNF OPERATIONS LLC
Active
Other names
Blue Ridge Therapy Connection
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMMY IDELS (COO)
(917) 565-7391
Entity
Organization
Contact information
Practice address
105 LANDMARK DR, STUART, VA 24171-9401
(276) 694-4230
Mailing address
7523 MAIN ST # 39, FLUSHING, NY 11367-7652
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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