Healthcare Provider Details

I. General information

NPI: 1801001565
Provider Name (Legal Business Name): BLUE RIDGE COMMUNITY ACTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N GREEN ST
MORGANTON NC
28655-5610
US

IV. Provider business mailing address

800 N GREEN ST
MORGANTON NC
28655-5610
US

V. Phone/Fax

Practice location:
  • Phone: 828-438-6255
  • Fax: 828-433-5721
Mailing address:
  • Phone: 828-438-6255
  • Fax: 828-433-5721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: MRS. KAREN HARSHMAN
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 828-438-6255