Blue Ridge Nutrition Services, Inc.

LBN: Blue Ridge Nutrition Services, Inc.
Blue Ridge Nutrition Services, Inc. is an health care organization with primary practice located at 3538 Habersham At Northlake , Tucker GA 30084-4009. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Blue Ridge Nutrition Services, Inc. can be contacted via phone (770) 939-8720, or through Karschner, Dana W via phone (770) 939-8720.

Contact Information

Primary practice address
3538 Habersham At Northlake Tucker GA 30084-4009
Phone: (770) 939-8720
Fax: (770) 938-7288
Website:
Map and Directions
Authorized official contact:
Name: Karschner, Dana W
Phone: (770) 939-8720

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 106901 Georgia

Profile Details

NPI number 1912117367
LBN Legal business name Blue Ridge Nutrition Services, Inc.
DBA Doing business as
Authorized official Karschner, Dana W
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Sep 1st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912117367 NPPES
Georgia MEDICAID 000699311A

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