NPI 1407368608 · live from the CMS NPI Registry
Blue Ridge Healthcare Montgomery LLC
Skilled Nursing Facility in Montgomery, AL. National Provider Identifier 1407368608, active.
NPI record
| NPI | 1407368608 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 4490 Virginia Loop Rd, Montgomery, AL 36116 |
| Practice phone | 334-281-6826 |
| Enumerated | October 27, 2017 |
| Last updated | March 25, 2019 |
| Authorized official | Administrator Administrator, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.