Organization · Type 2 NPI

Easter Seals Blake Foundation

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1548356207 Active

Practice location

7750 E Broadway Blvd, Suite A200
Tucson, AZ 85710

Call (520) 327-1529 Map

Fax (520) 327-1836

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Child Physical Disabilities Respite Care 385HR2065XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1548356207

Easter Seals Blake Foundation's National Provider Identifier is 1548356207, issued on Oct 4, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tucson, AZ. The record was last updated on Sep 1, 2023.