Bluesky Prime Care LLC

NPI #1366233801 in Madison, Wisconsin

Provider Information

NPI Number
1366233801
Entity Type
Organization
Organization Name
Bluesky Prime Care LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 14, 2025
Last Updated
May 14, 2025

Practice Location

Address
6819 PARK RIDGE DR
ZIP Code
53719-2221
Phone
(763) 300-2242

Authorized Official

Name
MOHAMED ODOWAA
Title
OWNER
Phone
(612) 986-5653

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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