Organization
BLUE SKIES GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR IVAN ROSADO MANAGER (DIRECT CARE)
(813) 802-5553
Entity
Organization
Contact information
Practice address
7128 WRENWOOD CIR, TAMPA, FL 33617-8462
(813) 802-5553
Mailing address
7128 WRENWOOD CIR, TAMPA, FL 33617-8462
(813) 802-5553
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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