| Blue River Services, Inc. | |
|
1365 Old Hwy 135 Nw Corydon IN 47112-0547 | |
| (812) 738-2408 | |
| (812) 738-6281 |
| Full Name | Blue River Services, Inc. |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 1365 Old Hwy 135 Nw, Corydon, Indiana |
| Authorized Official Name and Position | Daniel J Lowe (PRESIDENT CEO) |
| Authorized Official Contact | 8127382408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue River Services, Inc. P.o. Box 547 1365 Old Hwy 135 Nw Corydon IN 47112-0547 Ph: (812) 738-2408 | Blue River Services, Inc. 1365 Old Hwy 135 Nw Corydon IN 47112-0547 Ph: (812) 738-2408 |
| NPI Number | 1750404992 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750404992 | NPI | - | NPPES |
| 201035740 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Indiana) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (Indiana) | Primary |
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