Organization · Type 2 NPI

Blue Ridge In Georgetown LLC

Skilled Nursing Facility · Georgetown, SC

NPI number 1043600711 Active

Practice location

2715 S Island Rd
Georgetown, SC 29440-4415

Fax (843) 527-4465

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

6 other providers at this address

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NPI record

NPI: 1043600711
Entity type: Organization (Type 2)
Issued: Feb 2, 2015
Last updated: Aug 27, 2021
Status: Active

Other names

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Blue Ridge In Georgetown · doing business as
Blue Ridge In Georgetown · doing business as

Authorized official

Facility Administrator
Administrator
(843) 546-4123

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043600711

Blue Ridge In Georgetown LLC's National Provider Identifier is 1043600711, issued on Feb 2, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Georgetown, SC. The record was last updated on Aug 27, 2021.