Organization
BLUEBERRY HILL ASSISTED LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BOTNICK (OWNER)
(323) 620-4968
Entity
Organization
Contact information
Practice address
99 WALKER ST, LAWTON, MI 49065-9703
(269) 299-6006
Mailing address
PO BOX 480762, LOS ANGELES, CA 90048-9362
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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