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Organization
BLUESTEM FARMS LLC
Active
Organization
BLUESTEM FARMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE JONES (OFFICE MANAGER)
(804) 739-4000
Entity
Organization
Contact information
Practice address
6721 LAKE HARBOUR DR, MIDLOTHIAN, VA 23112-2083
(804) 739-8400
(804) 739-5579
Mailing address
6721 LAKE HARBOUR DR, MIDLOTHIAN, VA 23112-2083
(804) 739-8400
(804) 739-5579
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/10/2021
Last updated
11/15/2023
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