Organization
BLUE RIDGE CAREGIVERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PAT HOADLEY (PRESIDENT/CEO)
(540) 825-1819
Entity
Organization
Contact information
Practice address
17191 TATTERSHALL WAY, JEFFERSONTON, VA 22724-1786
(540) 825-1819
(540) 825-1716
Mailing address
PO BOX 819, CULPEPER, VA 22701-0819
(540) 825-1819
(540) 825-1716
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-161162
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175219002
API
VA
Enumeration date
05/20/2016
Last updated
05/20/2016
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