Organization
BLUEHAVEN NURSING HOME CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADRA YUSUF HAJJI (CEO)
(951) 553-8812
Entity
Organization
Contact information
Practice address
33 S JAMES RD, SUITE 205, COLUMBUS, OH 43213-1065
(951) 553-8812
Mailing address
33 S JAMES RD, SUITE 205, COLUMBUS, OH 43213-1065
(951) 553-8812
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
201535701270
OH
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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