Organization
BLUE WOLF INDUSTRY LLC
Active
Other names
Blue Wolf Industry Assist, Blue Wolf Industry Surround
Organization subpart
No
Provider details
NPI number
Authorized official
INTRINSIC BLUE WOLF (FOUNDER/CEO)
(586) 241-9196
Entity
Organization
Contact information
Practice address
1316 S WAYNE RD, WESTLAND, MI 48186-5438
(586) 241-9196
Mailing address
1316 S WAYNE RD, WESTLAND, MI 48186-5438
(586) 241-9196
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
03/02/2026
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