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Blue Light Inc.
Developmental Disabilities Clinic/Center in Wayne, Michigan
NPI 1497168215

Blue Light Inc. is a Developmental Disabilities Clinic/Center based in Farmington Hills, MI and is specialized in Developmental Disabilities. Blue Light Inc. practices in Wayne, MI. The NPI Number for Blue Light Inc. is 1497168215 and holds a License No. (Michigan).

The current practice location address for Blue Light Inc. is 26105 Orchard Lake Rd Suite #208 Farmington Hills Mi 48, Wayne, MI and can be reached out via phone at 248-615-3042 and via fax at 248-615-3047.

Location: 26105 Orchard Lake Rd Suite #208 Farmington Hills Mi 48, Wayne, MI, 48334-4576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497168215
Provider Name
Blue Light Inc.
Credential
Provider Entity Type
Organization
Address
26105 Orchard Lake Rd Suite #208 Farmington Hills Mi 48, Wayne, MI, 48334-4576
Phone Number
248-615-3042
Fax Number
248-615-3047
Provider Enumeration Date
06/09/2014
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1693530 05 MI
institution
Provider Business Practice Location Address Details
Address
26105 Orchard Lake Rd Suite #208 Farmington Hills Mi 48
City
Wayne
State
Michigan
Zip
48184
Phone Number
248-615-3042
Fax Number
248-615-3047
person
Provider Business Mailing Address Details
Address
26105 Orchard Lake Rd Suite #208 Farmington Hills Mi 48
City
Wayne
State
Michigan
Zip
48184
Phone Number
248-615-3042
Fax Number
248-615-3047
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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