Provider Demographics
NPI:1699438978
Name:BLC INDUSTRIES, LLC
Entity type:Organization
Organization Name:BLC INDUSTRIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-998-1573
Mailing Address - Street 1:2920 BUSINESS ONE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-8719
Mailing Address - Country:US
Mailing Address - Phone:269-998-1573
Mailing Address - Fax:
Practice Address - Street 1:2222 THE DELLS
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-4904
Practice Address - Country:US
Practice Address - Phone:269-998-1573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health