Whalio Doctors

NPI 1215470026

Blue Horizon Homes, LLC

Organisation Physical Disabilities Residential Treatment Facility Lakewood, CA

Practice location

Address
4340 Conquista Ave., Lakewood, CA 90713
Phone
(949) 381-1792
Fax
(562) 800-0318
Mailing address
Box # 254 12340 Seal Beach Blvd. Suite B, Seal Beach, CA 90740

Authorised official

Name
Ivonne Meader
Title
Administrator
Phone
(949) 381-1792

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X

Registry record

NPI
1215470026
Entity type
Organization
NPI issued
28 Nov 2016
Record last updated
21 Jul 2022

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.