Organization
BLUEBIRD SUPPORTIVE SERVICES
Active
Parent organization
TRACI BIZZELL
Other names
Bizzell Enterprises Industry
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRACI BIZZELL
Authorized official
TRACI BIZZELL (OWNER)
(856) 259-3747
Entity
Organization
Contact information
Practice address
38 HOLLYBUSH GDNS, GLASSBORO, NJ 08028-2323
(267) 259-3747
Mailing address
217 MACCLELLAND AVE, GLASSBORO, NJ 08028
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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