Organization
BUILDING BLOCKS PEDIATRIC HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON MILLS (PRESIDENT)
(813) 890-8004
Entity
Organization
Contact information
Practice address
6 JOURNEY, SUITES 135, ALISO VIEJO, CA 92656-5317
(813) 890-8004
(813) 290-9691
Mailing address
PO BOX 779, COLUMBIA, SC 29202-0779
(813) 890-8004
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57464G
—
CA
Enumeration date
10/06/2005
Last updated
05/19/2011
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