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Organization

PHEASANT RIDGE FACILITY OPERATIONS, LLC

Active
Other names
Pheasant Ridge Nursing & Rehab Center
Organization subpart
No

Provider details

NPI number
Authorized official
TIM LEHNER (MANAGER)
(770) 698-9040
Entity
Organization

Contact information

Practice address
4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
(540) 725-8210
(540) 725-5735
Mailing address
4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
(540) 725-8210
(540) 725-5735

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3001495494
VA
Enumeration date
08/03/2006
Last updated
09/13/2024
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