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Contact Information

BLUE RIDGE IN GEORGETOWN LLC
2715 S ISLAND RD
GEORGETOWN, SC29440-4415
 Phone: 843-526-4123
 Fax: 843-527-4465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BLUE RIDGE IN GEORGETOWN LLC

NPI # 1043600711
LBN Legal business name BLUE RIDGE IN GEORGETOWN LLC
Authorized official FACILITY ADMINISTRATOR - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2015
Last updated 08/27/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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