| Organization Name: | BLUE RIDGE HOSPICE INC |
| NPI Number: | 1407140387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE SUMMER (CEO) |
| Mailing Address: | 110 Ministry Dr Suite B Irmo |
| State: | SC US |
| Postal Code: | 290632365 |
| Phone Number: | 8037323274 |
| Fax Number: | 8037324294 |
| NPI Enumeration Date: | 06/08/2011 |
| NPI Last Update Date: | 11/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HPC-0160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |