Organization
SUMAC RESIDENTIAL LLC
Active
Other names
Blue Jay Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY RUSK (OWNER)
(715) 255-0466
Entity
Organization
Contact information
Practice address
723 B BLUE JAY LANE, HUDSON, WI 54016
(715) 255-0466
Mailing address
723B BLUE JAY LN, HUDSON, WI 54016-7695
(715) 255-0466
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us