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Organization

BLUE RIDGE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG MCCARTHY (COO)
(727) 530-7700
Entity
Organization

Contact information

Practice address
2348 HIGHWAY 105 SOUTH, UNIT # 11, BOONE, NC 28607-7802
(828) 262-5656
(828) 262-0480
Mailing address
PO BOX 532588, ATLANTA, GA 30353-2588
(843) 821-8525
(843) 821-0982

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
070235
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
070235
NC

Other

Enumeration date
03/29/2007
Last updated
07/23/2021
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