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Blue Ridge Healthcare Camellia LLC

Details

Name: Blue Ridge Healthcare Camellia LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Nov 2018 (6 years ago) (Companies founded in November 2018)
Entity Number: 000-535-688
Register Number: 000535688
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 1300 E South BlvdMontgomery, AL 36116

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427528058 2018-11-27 2019-03-18 1300 E SOUTH BLVD, MONTGOMERY, AL, 361162318, US 1300 E SOUTH BLVD, MONTGOMERY, AL, 36116, US

Contacts

Phone +1 334-593-7724
Fax 3346762233

Authorized person

Name LEVI RUDD
Role CEO
Phone 7863585200

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
Rudd, Levi Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State