Organization
BLUERIDGE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA PENA AGCAOILI (ADMINISTRATOR)
(626) 278-8229
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD STE 311F, LAS VEGAS, NV 89121-5067
(626) 278-8229
Mailing address
3430 E FLAMINGO RD STE 311F, LAS VEGAS, NV 89121-5067
(626) 278-8229
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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