# BLUEHAVEN NURSING HOME CARE AGENCY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952767824
- **Authorized official:** KHADRA YUSUF HAJJI (CEO)
- **Authorized official phone:** (951) 553-8812

## Contact information

- **Practice address:** 33 S JAMES RD, SUITE 205, COLUMBUS, OH 43213-1065
- **Practice address phone:** (951) 553-8812
- **Mailing address:** 33 S JAMES RD, SUITE 205, COLUMBUS, OH 43213-1065
- **Mailing address phone:** (951) 553-8812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 201535701270 | OH | Yes |

## Other

- **Enumeration date:** 01/08/2016
- **Last updated:** 01/08/2016