NPI 1124574728
Blue Moon Enterprises LLC
Practice location
- Address
- 1250 Kline St, Lakewood, CO 80215-4538
- Phone
- (908) 432-9309
Authorised official
- Name
- Carrie Louise Sonneborn
- Title
- Ceo
- Phone
- (908) 432-9309
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1124574728
- Entity type
- Organization
- NPI issued
- 1 Sep 2016
- Record last updated
- 1 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.