Organization Name: | BUILDING BLOCKS PEDIATRIC HOME HEALTH SERVICES |
NPI Number: | 1164419990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RON MILLS (PRESIDENT) |
Mailing Address: | 6 Journey Suites 135 Aliso Viejo |
State: | CA US |
Postal Code: | 926565317 |
Phone Number: | 8138908004 |
Fax Number: | 8132909691 |
NPI Enumeration Date: | 10/06/2005 |
NPI Last Update Date: | 05/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |