# SABER RIDGECREST MANOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205295896
- **Authorized official:** REBECCA WOLFORD LPTA (DOR)
- **Authorized official phone:** (276) 431-2841

## Contact information

- **Practice address:** 157 ROSS CARTER BLVD, DUFFIELD, VA 24244
- **Practice address phone:** (276) 431-2841
- **Mailing address:** 1909 GLEN ECHO ROAD, JONESBOROUGH, TN 37659
- **Mailing address phone:** (423) 418-3371

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 02/11/2016