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1942711304
BLUE RIDGE HEALTHCARE WILLOW TRACE LLC
BUTLER, AL
NPI
1942711304
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Entity Type
Organization
Authorized Contact
ADMINISTRATOR ADMINISTRATOR
Administrator
205-459-5506
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2017-10-12
Last Update Date
2019-03-25
Business Address
BLUE RIDGE HEALTHCARE WILLOW TRACE LLC
1406 E PUSHMATAHA ST
BUTLER, AL 36904-2728
Phone number: 205-459-5506
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Mailing Address
BLUE RIDGE HEALTHCARE WILLOW TRACE LLC
1406 E PUSHMATAHA ST
BUTLER, AL 36904-2728
Phone number:
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