Organization
BLUERAY HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL VICENTE (CEO/PRESIDENT)
(805) 232-7198
Entity
Organization
Contact information
Practice address
4220 E LOS ANGELES AVE STE 205, SIMI VALLEY, CA 93063-6713
(805) 232-7198
(805) 507-0184
Mailing address
4220 E LOS ANGELES AVE STE 205, SIMI VALLEY, CA 93063-6713
(805) 232-7198
(805) 507-0184
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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