Blue Line Community Services LLC
NPI #1396442554 in Georgetown, Texas
Provider Information
- NPI Number
- 1396442554
- Entity Type
- Organization
- Organization Name
- Blue Line Community Services LLC
- Primary Specialty
- Foster Care Agency
- Enumeration Date
- Feb 8, 2023
- Last Updated
- Feb 8, 2023
Practice Location
- Address
- 1002 TOLTEC TRL
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-7053
- Phone
- (512) 800-0013
Authorized Official
- Name
- KEVIN MICHAEL KRZAN
- Title
- MANAGING MEMBER
- Phone
- (512) 800-0013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Foster Care Agency |
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