Blue Ridge Healthcare Willow Trace LLC

NPI #1942711304 in Butler, Alabama

Provider Information

NPI Number
1942711304
Entity Type
Organization
Organization Name
Blue Ridge Healthcare Willow Trace LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 12, 2017
Last Updated
Mar 25, 2019

Practice Location

Address
1406 E PUSHMATAHA ST
City
Butler
State
Alabama
ZIP Code
36904-2728
Phone
(205) 459-5506

Authorized Official

Name
ADMINISTRATOR ADMINISTRATOR
Title
ADMINISTRATOR
Phone
(205) 459-5506

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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