Organization
BLUE IRIS ADULT FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAYRA FONTANEZ (PROGRAM DIRECTOR)
(401) 450-9717
Entity
Organization
Contact information
Practice address
56 N MAIN ST STE 229, FALL RIVER, MA 02720-2132
(508) 567-4819
(508) 730-6465
Mailing address
56 N MAIN ST STE 229, FALL RIVER, MA 02720-2132
(508) 567-4819
(508) 730-6465
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
02/28/2024
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