Provider Demographics
NPI:1508486887
Name:BLOUJAY CONSULTING & MANAGEMENT SERVICES, LLC.
Entity Type:Organization
Organization Name:BLOUJAY CONSULTING & MANAGEMENT SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTYLOU
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-913-0866
Mailing Address - Street 1:256 POINCIANA ST
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-4044
Mailing Address - Country:US
Mailing Address - Phone:772-913-0866
Mailing Address - Fax:
Practice Address - Street 1:256 POINCIANA ST
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-4044
Practice Address - Country:US
Practice Address - Phone:772-913-0866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage