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Contact Information

RIDGEWOOD RLC LLC
1624 HIGHLAND DRIVE
WASHINGTON, NC27889
 Phone: 252-946-9570
 Fax: 252-946-3715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for RIDGEWOOD RLC LLC

NPI Number 1851474274
LBN Legal business name RIDGEWOOD RLC LLC
Authorized official MICHAEL KELLY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2006
Last updated 11/08/2010 - About 16 years ago
Identifiers
NC License # NH0387
NC Medicaid 3415228
NC Other 00966 BLUE CROSS BLUE SHIELD
NC Other 3406346 MEDICAID ICF
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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