Whalio Doctors

NPI 1013478411

Blue Ridge Snf Operations LLC

Organisation Skilled Nursing Facility Stuart, VA

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
Nursing & Custodial Care Facilities Taxonomy 314000000X

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.