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Blue Ridge Group Home
Private Vehicle in Boston, Virginia
NPI 1609390889

Blue Ridge Group Home is a Private Vehicle based in Boston, VA. Blue Ridge Group Home practices in Boston, VA. The NPI Number for Blue Ridge Group Home is 1609390889 and holds a License No. (Virginia).

The current practice location address for Blue Ridge Group Home is 11018 Old Stillhouse Rd, Boston, VA and can be reached out via phone at 540-219-5110.

Location: 11018 Old Stillhouse Rd, Boston, VA, 22713-4031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609390889
Provider Name
Blue Ridge Group Home
Credential
Provider Entity Type
Organization
Address
11018 Old Stillhouse Rd, Boston, VA, 22713-4031
Phone Number
540-219-5110
Fax Number
Provider Enumeration Date
07/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11018 Old Stillhouse Rd
City
Boston
State
Virginia
Zip
22713-4031
Phone Number
540-219-5110
Fax Number
person
Provider Business Mailing Address Details
Address
11018 Old Stillhouse Rd
City
Boston
State
Virginia
Zip
22713-4031
Phone Number
540-219-5110
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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