Organization
BLUE WATER HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REZA RYAN MOHAMMED (CEO)
(714) 716-1305
Entity
Organization
Contact information
Practice address
10568 MAGNOLIA AVE STE 122, ANAHEIM, CA 92804-5864
(714) 716-1305
(714) 716-1385
Mailing address
10568 MAGNOLIA AVE STE 122, ANAHEIM, CA 92804-5864
(714) 716-1305
(714) 716-1385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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