Organization
BLUE RIDGE IN THE FIELDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI Y. RUDD (CEO)
(786) 358-5200
Entity
Organization
Contact information
Practice address
117 BELLFIELD RD, RIDGEWAY, SC 29130-8261
(803) 337-2257
Mailing address
2700 N 29TH AVE STE 308, HOLLYWOOD, FL 33020-1515
(786) 358-5200
(786) 664-3311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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