Organization
BLUE RIDGE HEALTHCARE OF BUCHANAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI RUDD (CEO)
(786) 358-5200
Entity
Organization
Contact information
Practice address
144 DEPOT ST, BUCHANAN, GA 30113-5216
(770) 646-5512
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
04/04/2017
Last updated
04/04/2017
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