Organization
BLUE GLOBAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL LEE WILLIS (CHIEF EXECUTIVE OFFICER)
(619) 756-0592
Entity
Organization
Contact information
Practice address
304 GRAPE ST, SAN DIEGO, CA 92101-2362
(619) 756-0592
Mailing address
304 GRAPE ST, SAN DIEGO, CA 92101-2362
(619) 756-0592
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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