Organization
BELLWETHER RANCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIAN D. BLOOMQUIST RN (OWNER / DIRECTOR)
(928) 699-9155
Entity
Organization
Contact information
Practice address
402 E ROUTE 66, WILLIAMS, AZ 86046-2702
(928) 699-9155
(928) 222-2096
Mailing address
11256 W BRIGHT SKY TRL, WILLIAMS, AZ 86046-7577
(928) 699-9155
(928) 222-2096
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
AZ
253J00000X
Foster Care Agency
Primary
—
AZ
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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