| NPI | 1780074286 |
|---|---|
| Doing Business As | BLUE RIDGE ON THE MOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | LEVI RUDD Manager 786-358-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-12-01 |