Organization
BLUE WATER ENDEAVORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REA RICAFORT REGISTERED NURSE (PRESIDENT)
(310) 263-7185
Entity
Organization
Contact information
Practice address
13405 INGLEWOOD AVENUE, SUITE 6, HAWTHORNE, CA 90254
(310) 263-7185
(310) 263-7232
Mailing address
13405 INGLEWOOD AVE STE 6, HAWTHORNE, CA 90250-5646
(310) 263-7185
(310) 263-7232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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