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Organization

BLUERIDGE HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY BOJE (ADMINISTRATOR)
(281) 660-6991
Entity
Organization

Contact information

Practice address
9898 BISSONNET ST, SUITE 530, HOUSTON, TX 77036-8270
(281) 660-6991
(713) 271-5353
Mailing address
9898 BISSONNET ST, SUITE 530, HOUSTON, TX 77036-8270
(281) 660-6991
(713) 271-5353

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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