# GL VIRGINIA BLUE RIDGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Galax Health and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336683101
- **Authorized official:** DAVID RUBENSTEIN (PRESIDENT AND CEO)
- **Authorized official phone:** (404) 786-8528

## Contact information

- **Practice address:** 836 GLENDALE RD, GALAX, VA 24333-2490
- **Practice address phone:** (276) 236-9991
- **Practice address fax:** (276) 236-5563
- **Mailing address:** 836 GLENDALE RD, GALAX, VA 24333-2490
- **Mailing address phone:** (276) 236-9991
- **Mailing address fax:** (276) 236-5563

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 12/13/2016
