Organization
BLUE HORIZON HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINASHA BENALLY (CEO/OWNER)
(480) 710-8411
Entity
Organization
Contact information
Practice address
06 LAMBDA ST, SP 1, MENTMORE, NM 87319-8731
(480) 710-8411
Mailing address
PO BOX 3325, GALLUP, NM 87305-3325
(480) 710-8411
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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