Organization
BLUE RIVER LLC
Active
Organization
BLUE RIVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE MORRIS (OWNER)
(276) 618-2793
Entity
Organization
Contact information
Practice address
1466 CHESTNUT KNOB RD, MARTINSVILLE, VA 24112-0161
(276) 618-2793
Mailing address
PO BOX 1158, COLLINSVILLE, VA 24078-1079
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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