Organization
BLUE HORIZON HOMES, LLC
Active
Other names
Mom & Dad's House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVONNE MEADER (ADMINISTRATOR)
(949) 381-1792
Entity
Organization
Contact information
Practice address
4340 CONQUISTA AVE., LAKEWOOD, CA 90713
(949) 381-1792
(562) 800-0318
Mailing address
BOX # 254, 12340 SEAL BEACH BLVD. SUITE B, SEAL BEACH, CA 90740
(949) 381-1792
(562) 800-0318
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
11/28/2016
Last updated
07/21/2022
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