# BLUE RIDGE SNF OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Ridge Therapy Connection
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013478411
- **Authorized official:** SHIMMY IDELS (COO)
- **Authorized official phone:** (917) 565-7391

## Contact information

- **Practice address:** 105 LANDMARK DR, STUART, VA 24171-9401
- **Practice address phone:** (276) 694-4230
- **Mailing address:** 7523 MAIN ST \# 39, FLUSHING, NY 11367-7652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 03/28/2019