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NPI Code Detail

MEDICARE: BLUE RIDGE HEALTH SERVICES

MEDICARE: BLUE RIDGE HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency3409001NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982709622
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE RIDGE HEALTH SERVICES
Provider Business Mailing Address
First Line : 9 FAWNWOOD CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-6139
Country : US
Telephone Number : 336-292-1597
Fax Number : 336-292-1161
Provider Business Practice Location Address
First Line : 7 DUNDAS CIR STE F
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-1645
Country : US
Telephone Number : 336-292-1597
Fax Number : 336-292-1161
Authorized Official
Title or Position : PRESIDENT
Name : MRS. LUBNA SACHEDINA REECE
Credential :
Telephone Number : 336-292-1597
Provider Enumeration Date : 09/14/2006
Last Update Date : 02/02/2012

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Directions to “BLUE RIDGE HEALTH SERVICES ” Practice Location

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