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Organization
BBLS LLC
Active
Organization
BBLS LLC
Active
Other names
Koda Caregivers
Organization subpart
No
Provider details
NPI number
Authorized official
TED SCHULTE (PRESIDENT)
(949) 535-1111
Entity
Organization
Contact information
Practice address
895 DOVE ST FL 3, NEWPORT BEACH, CA 92660-2941
(949) 535-1111
Mailing address
21163 NEWPORT COAST DR STE 155, NEWPORT BEACH, CA 92657-1123
(949) 535-1111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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