NPI 1013478411
Blue Ridge Snf Operations LLC
Practice location
- Address
- 105 Landmark Dr, Stuart, VA 24171-9401
- Phone
- (276) 694-4230
- Mailing address
- 7523 Main St # 39, Flushing, NY 11367-7652
Authorised official
- Name
- Shimmy Idels
- Title
- Coo
- Phone
- (917) 565-7391
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1013478411
- Entity type
- Organization
- NPI issued
- 28 Mar 2019
- Record last updated
- 28 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.