Organization
BLUE WATER DEVELOPMENTAL HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY MCFARLANE (SUPERVISOR)
(810) 388-1200
Entity
Organization
Contact information
Practice address
1600 GRATIOT BLVD, MARYSVILLE, MI 48040-1145
(810) 388-1200
Mailing address
305 12TH ST, PORT HURON, MI 48060-4315
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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