Blue Ridge On The Mountain LLC
Skilled Nursing Facility in Sylva, NC. Organization (NPI-2).
NPI number1780074286
StatusActive
Last updated in NPPESDec 1, 2015
Details
- NPI
- 1780074286
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Ridge On The Mountain LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2015
- Last updated
- Dec 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Blue Ridge On The Mountain (Doing Business As)
Practice location
417 Mountain Trace RdSylva, NC 28779-6779
Phone 828-631-1600 · Fax 828-631-1648
Mailing address
417 Mountain Trace RdSylva, NC 28779-6779
Phone 828-631-1600 · Fax 828-631-1648
Authorized official
Levi Rudd
Manager
7863585200
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