National Provider Identifier Database

BLUE WATER DEVELOPMENTAL HOUSING
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

BLUE WATER DEVELOPMENTAL HOUSING
1600 GRATIOT BLVD
MARYSVILLE, MI48040-1145
Phone: 810-388-1200
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for BLUE WATER DEVELOPMENTAL HOUSING

NPI Number 1255769345
Legal business name
LBN
BLUE WATER DEVELOPMENTAL HOUSING
Authorized official BECKY MCFARLANE - (SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 10/29/2013
Last updated 10/29/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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