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Blue Diamond Estates
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bandon, Oregon
NPI 1962090951

Blue Diamond Estates is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Bandon, OR. Blue Diamond Estates practices in Bandon, OR. The NPI Number for Blue Diamond Estates is 1962090951 and holds a License No. (Oregon).

The current practice location address for Blue Diamond Estates is 87326 Mctimmons Ln, Bandon, OR and can be reached out via phone at 541-217-4006 and via fax at 541-347-7555.

Location: 87326 Mctimmons Ln, Bandon, OR, 97411-8285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962090951
Provider Name
Blue Diamond Estates
Credential
Provider Entity Type
Organization
Address
87326 Mctimmons Ln, Bandon, OR, 97411-8285
Phone Number
541-217-4006
Fax Number
541-347-7555
Provider Enumeration Date
01/05/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
527511 05 OR
institution
Provider Business Practice Location Address Details
Address
87326 Mctimmons Ln
City
Bandon
State
Oregon
Zip
97411-8285
Phone Number
541-217-4006
Fax Number
541-347-7555
person
Provider Business Mailing Address Details
Address
87326 Mctimmons Ln
City
Bandon
State
Oregon
Zip
97411-8285
Phone Number
541-217-4006
Fax Number
541-347-7555
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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