Bleu House Residential

NPI #1144932526 in Canton, Ohio

Provider Information

NPI Number: 1144932526
Entity Type: Organization
Organization Name: Bleu House Residential
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 19, 2022
Last Updated: Dec 19, 2022

Practice Location

Address: 2426 WINFIELD WAY NE
City: Canton
State: Ohio
ZIP Code: 44705-1952
Phone: (330) 356-9819

Authorized Official

Name: MR. DEVON L SKILLERN, DO
Title: OWNER
Phone: (330) 356-9819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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