| Organization Name: | BBLB PROPERTIES LLC |
| NPI Number: | 1023312824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLIE RUSSELL ELLIOTT (OWNER/ADMINISTRATOR) |
| Mailing Address: | 18521 E Queen Creek Rd Ste 105-432 Queen Creek |
| State: | AZ US |
| Postal Code: | 851425845 |
| Phone Number: | 4806569883 |
| Fax Number: | 4808887025 |
| NPI Enumeration Date: | 01/07/2011 |
| NPI Last Update Date: | 01/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |