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Organization
BLUE RIDGE IN THE FIELDS LLC
Active
Organization
BLUE RIDGE IN THE FIELDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI Y. RUDD (CEO)
(786) 358-5200
Entity
Organization
Contact information
Practice address
117 BELLFIELD RD, RIDGEWAY, SC 29130-8261
(803) 337-2257
Mailing address
2700 N 29TH AVE STE 308, HOLLYWOOD, FL 33020-1515
(786) 358-5200
(786) 664-3311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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