Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLUE DIAMOND ESTATES
Active OrganizationIntellectual Disabilities Residential Treatment Facility · BANDON, OR
Registration Details
- NPI Number
- 1962090951
- Provider Type
- Organization
- NPI Issued
- Jan 5, 2021 (5.2922731695258 yrs)
- Last Updated
- Jan 5, 2021
Practice Information
- Address
-
87326 MCTIMMONS LNBANDON, OR, 974118285Browse OR providers · Browse ZIP 97411
- Phone
- 5412174006
- Fax
- 5413477555
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.