Organization
BLUE RIDGE NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK WILLIAM CARROLL JR. RN (OWNER)
(816) 365-5433
Entity
Organization
Contact information
Practice address
7505 E 87TH ST, KANSAS CITY, MO 64138-3917
(816) 761-6838
Mailing address
7505 E 87TH ST, KANSAS CITY, MO 64138-3917
(816) 761-6838
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
033937
MO
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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