Organization
4355 PHEASANT RIDGE ROAD OPCO LLC
Active
Other names
Pheasant Ridge Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOBACK (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
Enumeration date
12/24/2024
Last updated
03/10/2025
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