Organization
BLUE RIDGE SNF OPERATIONS LLC
Active
Other names
Blue Ridge Therapy Connection
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMMY IDELS (COO)
(917) 565-7391
Entity
Organization
Contact information
Practice address
105 LANDMARK DR, STUART, VA 24171-9401
(276) 694-4230
Mailing address
7523 MAIN ST # 39, FLUSHING, NY 11367-7652
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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