Organization
BLUE RIDGE NURSING, LLC
Active
Other names
Willow Tree Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R STOLTZ (SECRETARY / TREASURER)
(513) 530-1808
Entity
Organization
Contact information
Practice address
1263 S GEORGE ST, CHARLES TOWN, WV 25414-4384
(304) 725-6575
Mailing address
10123 ALLIANCE RD, BLUE ASH, OH 45242-4887
(513) 530-1808
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
25
WV
Other
Enumeration date
07/17/2007
Last updated
05/01/2025
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