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1124574728
BLUE MOON ENTERPRISES LLC
LAKEWOOD, CO
NPI
1124574728
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Entity Type
Organization
Authorized Contact
CARRIE LOUISE SONNEBORN
CEO
908-432-9309
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
BLUE MOON ENTERPRISES LLC
1250 KLINE ST
LAKEWOOD, CO 80215-4538
Phone number: 908-432-9309
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Mailing Address
BLUE MOON ENTERPRISES LLC
1250 KLINE ST
LAKEWOOD, CO 80215-4538
Phone number: 908-432-9309
Copy
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