Organization
BLUE RIVER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J LOWE (PRESIDENT CEO)
(812) 738-2408
Entity
Organization
Contact information
Practice address
1365 OLD HWY 135 NW, CORYDON, IN 47112-0547
(812) 738-2408
(812) 738-6281
Mailing address
P.O. BOX 547, 1365 OLD HWY 135 NW, CORYDON, IN 47112-0547
(812) 738-2408
(812) 738-6281
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
IN
251S00000X
Community/Behavioral Health Agency
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201035740 A
—
IN
Enumeration date
04/10/2007
Last updated
05/06/2013
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