Organization
BLUE HORIZON HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SHANKS NP (NURSE PRACTITIONER/FOUNDER)
(510) 304-9727
Entity
Organization
Contact information
Practice address
5509 PARKER DR, MARIPOSA, CA 95338-9767
(510) 304-9727
Mailing address
2654 DEERWOOD DR, SAN RAMON, CA 94583-1512
(510) 304-9727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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