Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Bledsoe

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1114139136

Michael Bledsoe is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

714 W Main St
Grass Valley, CA 95945-6410
Phone: (530) 477-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1114139136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address714 W Main St, Grass Valley, CA 95945-6410

Other providers in Grass Valley