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Organization
BLUE RIDGE OF SUMTER LLC
Active
Organization
BLUE RIDGE OF SUMTER LLC
Active
Other names
Blue Ridge of Sumter
Organization subpart
No
Provider details
NPI number
Authorized official
FACILITY ADMINISTRATOR (ADMINISTRATOR)
(803) 481-8591
Entity
Organization
Contact information
Practice address
1761 PINEWOOD RD, SUMTER, SC 29154-9056
(803) 481-8591
(803) 481-8601
Mailing address
1761 PINEWOOD RD, SUMTER, SC 29154-9056
(803) 481-8591
(803) 481-8601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
08/27/2021
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