Organization
BUBBLES OF FUN DEVELOPMENTAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSELIN RUIZ (CO-OWNER)
(919) 538-0423
Entity
Organization
Contact information
Practice address
50 EAGLE RD, BENSON, NC 27504-7256
(919) 538-0423
(919) 400-4611
Mailing address
1122 PACKING PLANT RD, SMITHFIELD, NC 27577-7894
(919) 538-0423
(919) 400-4611
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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