# PHEASANT RIDGE FACILITY OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pheasant Ridge Nursing & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609884055
- **Authorized official:** TIM LEHNER (MANAGER)
- **Authorized official phone:** (770) 698-9040

## Contact information

- **Practice address:** 4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
- **Practice address phone:** (540) 725-8210
- **Practice address fax:** (540) 725-5735
- **Mailing address:** 4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
- **Mailing address phone:** (540) 725-8210
- **Mailing address fax:** (540) 725-5735

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 09/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3001495494 | — | VA |