- Enrollment id
- O20120409000594
- Enrollment state
- NC
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1023084399
- Multiple npi flag
- N
- Ccn
- 341565
- Associate id
- 6103087762
- Organization name
- HOSPICE & PALLIATIVE CARE OF THE BLUE RIDGE INC
- Doing business as name
- HOSPICE OF MITCHELL COUNTY
- Incorporation date
- 1997-09-08
- Incorporation state
- NC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 236 HOSPITAL DR
- City
- SPRUCE PINE
- State
- NC
- Zip code
- 287778944