MICHAEL BLEDSOE

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1114139136

Practice Address

714 W MAIN ST
Grass Valley, CA 95945

Phone: (530) 477-9800

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1114139136 is the National Provider Identifier for MICHAEL BLEDSOE, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Grass Valley, CA. This NPI was enumerated on May 3, 2007.
MICHAEL BLEDSOE practices at 714 W MAIN ST, Grass Valley, CA 95945.

Quick Facts

NPI
1114139136
Type
Individual
Enumerated
May 3, 2007
Last Updated
Jul 8, 2007

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