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Organization

BLUE BONNET HOME HEALTHCARE. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADWOA SERWA OSEI NYARKO (ADMINISTRATION)
(805) 587-0957
Entity
Organization

Contact information

Practice address
6400 E WASHINGTON BLVD STE 109C, COMMERCE, CA 90040-1820
(661) 313-9592
Mailing address
6400 E WASHINGTON BLVD STE 109C, COMMERCE, CA 90040-1820
(661) 313-9592

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251E00000X
Home Health Agency
Primary
251F00000X
Home Infusion Agency
332BD1200X
Dialysis Equipment & Supplies (DME)

Other

Enumeration date
02/13/2021
Last updated
02/13/2021
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