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Organization
BLUE RIDGE IN BROOKVIEW HOUSE LLC
Active
Organization
BLUE RIDGE IN BROOKVIEW HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI RUDD (CEO)
(786) 358-5200
Entity
Organization
Contact information
Practice address
510 THOMPSON ST, GAFFNEY, SC 29340-3620
(864) 489-3101
(864) 489-4888
Mailing address
2700 N 29TH AVE, SUITE 308, HOLLYWOOD, FL 33020-1520
(786) 358-5200
(786) 664-3311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
12/02/2015
Last updated
12/14/2015
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