Organization
BLUE RIDGE INDEPENDENT LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN B MICHALSKI-KARNEY (EXECUTIVE DIRECTOR)
(540) 342-1231
Entity
Organization
Contact information
Practice address
1502 WILLIAMSON RD NE STE B, ROANOKE, VA 24012-5100
(540) 342-1231
(540) 342-9505
Mailing address
1502 WILLIAMSON RD NE STE B, ROANOKE, VA 24012-5100
(540) 342-1231
(540) 342-9505
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087419724
—
VA
05
—
0087429103
—
VA
05
—
0154630583
—
VA
Enumeration date
12/23/2008
Last updated
12/23/2008
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