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Organization
BLUE MOUNTAIN DEVELOPMENTAL PROGRAMS, LLC
Active
Organization
BLUE MOUNTAIN DEVELOPMENTAL PROGRAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENEVA MELANIE WARD M.ED. (DIRECTOR)
(623) 584-5990
Entity
Organization
Contact information
Practice address
13939 W GRAND AVE, SURPRISE, AZ 85374-2440
(623) 584-5990
Mailing address
13954 W WADDELL RD STE 103, SURPRISE, AZ 85379-8751
(623) 584-5990
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/13/2007
Last updated
09/27/2010
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