# SMOKEY RIDGE HEALTH AND REHABILITATION SNF LLC

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

## Provider details

- **NPI number:** 1558029488
- **Authorized official:** DAVID FISCHER (COO)
- **Authorized official phone:** (828) 756-3600

## Contact information

- **Practice address:** 310 PENSACOLA RD, BURNSVILLE, NC 28714-3318
- **Practice address phone:** (828) 682-9759
- **Mailing address:** 8 MELISSA LEE DR, JACKSON, NJ 08527-5151
- **Mailing address phone:** (617) 875-8098

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 04/11/2024
