Organization
BLUE SKY ENTERPRISES
Active
Other names
Visiting Angels
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M. COBURN III (DIRECTOR)
(304) 842-0199
Entity
Organization
Contact information
Practice address
236 LATE AVE, BRIDGEPORT, WV 26330-1416
(304) 842-0199
(304) 842-1180
Mailing address
236 LATE AVE, BRIDGEPORT, WV 26330-1416
(304) 842-0199
(304) 842-1180
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805011000
—
WV
Enumeration date
03/14/2007
Last updated
08/22/2020
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