Organization
BLUE ANGEL VENTURES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN FAIRLEY JR. (GENERAL MANAGER)
(508) 780-0031
Entity
Organization
Contact information
Practice address
51 MAN MAR DR UNIT 4, PLAINVILLE, MA 02762-2272
(508) 780-0031
Mailing address
30 S WASHINGTON ST # 510, NORTH ATTLEBORO, MA 02760-1649
(774) 563-3785
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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