Organization
BLUERIDGE HEALTH SERVICES LLC
Active
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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