Provider Demographics
NPI:1285510529
Name:THE SPA AT BLUEBERRY HILL
Entity type:Organization
Organization Name:THE SPA AT BLUEBERRY HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-994-3533
Mailing Address - Street 1:7620 HIGHLAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:YOUNG HARRIS
Mailing Address - State:GA
Mailing Address - Zip Code:30582-2082
Mailing Address - Country:US
Mailing Address - Phone:706-994-3533
Mailing Address - Fax:
Practice Address - Street 1:2135 TOWN CREEK SCHOOL RD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-5931
Practice Address - Country:US
Practice Address - Phone:706-994-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service