BLUE RIDGE BY THE LAKE LLC

ST PETERSBURG, FL
NPI1154787141
Entity TypeOrganization
Authorized ContactLEVI RUDD
CEO
786-358-5200
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2016-01-07
Last Update Date2016-01-07
Business Address
BLUE RIDGE BY THE LAKE LLC
1100 66TH ST N
ST PETERSBURG, FL 33710-6224
Phone number: 727-345-9331
Mailing Address
BLUE RIDGE BY THE LAKE LLC
2700 N 29TH AVE SUITE 308
HOLLYWOOD, FL 33020-1520
Phone number: 786-358-5200
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