Organization
BLUE BONNET HOSPICE , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADWOA SERWA OSEI NAYRKO (ADMINISTRATOR)
(805) 587-0957
Entity
Organization
Contact information
Practice address
6400 E WASHINGTON BLVD. SUIT 109B, COMMERCE, CA 90040-1820
(661) 313-9592
Mailing address
6400 E WASHINGTON BLVD. SUIT 109B, 109B, COMMERCE, CA 90040-1820
(661) 313-9592
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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