| NPI | 1700112190 |
|---|---|
| Doing Business As | BLUEBONNET NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | ZEVI KOHN CFO 917-370-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2010-02-17 |