# BLUE BIRD HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** N/A
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679901128
- **Legal business name:** N/A
- **Authorized official:** MRS. YEMISI ADETOLA ALLEN-OYEBOLA CEO (CEO)
- **Authorized official phone:** (973) 979-1737

## Contact information

- **Practice address:** 1301 OXFORD LN, UNION, NJ 07083-5447
- **Practice address phone:** (973) 979-1737
- **Practice address fax:** (908) 688-0636
- **Mailing address:** 1301 OXFORD LN, UNION, NJ 07083-5447
- **Mailing address phone:** (973) 979-1737
- **Mailing address fax:** (908) 688-0636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HPO180800 | NJ | Yes |

## Other

- **Enumeration date:** 10/19/2013
- **Last updated:** 10/19/2013