Organization
BLUE HORIZON STAFFING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHASTITY CORDOVA-HEYWARD (PRESIDENT)
(866) 728-1346
Entity
Organization
Contact information
Practice address
41593 WINCHESTER RD STE 200-242, TEMECULA, CA 92590-4860
(866) 728-1346
(626) 800-3454
Mailing address
41593 WINCHESTER RD STE 200-242, TEMECULA, CA 92590-4860
(866) 728-1346
(626) 800-3454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/22/2019
Last updated
06/11/2019
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