Blue Mountain Developmental Programs, LLC

NPI #1942424361 in Surprise, Arizona

Provider Information

NPI Number: 1942424361
Entity Type: Organization
Organization Name: Blue Mountain Developmental Programs, LLC
Primary Specialty: Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date: Apr 13, 2007
Last Updated: Sep 27, 2010

Practice Location

Address: 13939 W GRAND AVE
City: Surprise
State: Arizona
ZIP Code: 85374-2440
Phone: (623) 584-5990

Authorized Official

Name: MS. GENEVA MELANIE WARD, M.ED.
Title: DIRECTOR
Phone: (623) 584-5990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child	385HR2065X
Respite Care	385H00000X
In Home Supportive Care	253Z00000X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X	Primary

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