NPI 1215470026
Blue Horizon Homes, LLC
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
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.