| NPI | 1912214966 |
|---|---|
| Doing Business As | BLUE JAY ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RUSK Owner 715-255-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |