Blue Dragonfly Care LLC

NPI #1255099131 in Mesa, Arizona

Provider Information

NPI Number: 1255099131
Entity Type: Organization
Organization Name: Blue Dragonfly Care LLC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Dec 7, 2021
Last Updated: Dec 7, 2021

Practice Location

Address: 654 W PLATA AVE
City: Mesa
State: Arizona
ZIP Code: 85210-8331
Phone: (480) 347-0738

Authorized Official

Name: PATRICIA LYNN WOODWARD
Title: CEO/FOUNDER
Phone: (480) 347-0738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Respite Care	385H00000X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Day Training, Developmentally Disabled Services	251C00000X	Primary

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