OrganizationActive
Blue Ridge Residential Services, LLC
NPI 1770516148 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lynchburg, VA
Provider details
- NPI number
- 1770516148
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Richard Gilman, Executive Director
- License
- 691 (VA)
Practice location
828 Main St
Suite 1103
Lynchburg, VA 24504-1500
Phone: (434) 316-9112
Fax: (434) 316-9244
Mailing address
Po Box 1159
Forest, VA 24551-5159
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.