| Blue Ridge Eldercare, Pc | |
|
59 E Weaver Ave Harrisonburg VA 22801-3047 | |
| (540) 434-6354 | |
| Not Available |
| Full Name | Blue Ridge Eldercare, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 59 E Weaver Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Jeffrey L Landis (PRESIDENT) |
| Authorized Official Contact | 5404346354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Eldercare, Pc 59 E Weaver Ave Harrisonburg VA 22801-3047 Ph: () - | Blue Ridge Eldercare, Pc 59 E Weaver Ave Harrisonburg VA 22801-3047 Ph: (540) 434-6354 |
| NPI Number | 1891871711 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891871711 | NPI | - | NPPES |
| DD4151 | Other | VA | RAILROAD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001685 (Virginia) | Primary |
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