Organization
BLUE RIDGE IN BROOKVIEW HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI RUDD (CEO)
(786) 358-5200
Entity
Organization
Contact information
Practice address
510 THOMPSON ST, GAFFNEY, SC 29340-3620
(864) 489-3101
(864) 489-4888
Mailing address
2700 N 29TH AVE, SUITE 308, HOLLYWOOD, FL 33020-1520
(786) 358-5200
(786) 664-3311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/14/2015
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