Organization
BLUE RIDGE OF RALEIGH LLC
Active
Other names
Blue Ridge Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BRESLIN (EXECUTIVE VP)
(201) 242-4004
Entity
Organization
Contact information
Practice address
3830 BLUE RIDGE RD, RALEIGH, NC 27612-4319
(919) 781-4900
(919) 571-2583
Mailing address
3830 BLUE RIDGE RD, RALEIGH, NC 27612-4319
(919) 781-4900
(919) 571-2583
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340613WW
—
NC
Enumeration date
07/19/2005
Last updated
02/14/2008
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