# BLUE HORIZON HOMES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mom & Dad's House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215470026
- **Authorized official:** MRS. IVONNE MEADER (ADMINISTRATOR)
- **Authorized official phone:** (949) 381-1792

## Contact information

- **Practice address:** 4340 CONQUISTA AVE., LAKEWOOD, CA 90713
- **Practice address phone:** (949) 381-1792
- **Practice address fax:** (562) 800-0318
- **Mailing address:** BOX \# 254, 12340 SEAL BEACH BLVD. SUITE B, SEAL BEACH, CA 90740
- **Mailing address phone:** (949) 381-1792
- **Mailing address fax:** (562) 800-0318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 07/21/2022