Organization
BLUEMOON HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ISSE MOHAMUD (OWNER)
(619) 321-7065
Entity
Organization
Contact information
Practice address
5705 TAMARACK BLVD APT F, COLUMBUS, OH 43229-3776
(614) 721-0714
Mailing address
5705 TAMARACK BLVD APT F, COLUMBUS, OH 43229-3776
(614) 721-0714
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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