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Organization
BLUE RIDGE HOME CARE, INC
Active
Organization
BLUE RIDGE HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUNJI ISAAC OGUNMOLA MSW (PRESIDENT)
(215) 457-4950
Entity
Organization
Contact information
Practice address
9 E LOOCKERMAN ST STE 211, DOVER, DE 19901-7347
(302) 397-8211
(302) 510-4627
Mailing address
9 E LOOCKERMAN ST STE 211, DOVER, DE 19901-7347
(302) 397-8211
(302) 510-4627
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
NULL
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/23/2018
Last updated
06/05/2024
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