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Blue IV LLC — NPI 1306624358, Windham, NH | NPI Central

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NPI 1306624358

OrganizationActive

Blue IV LLC

NPI 1306624358 · Home Infusion Agency · Windham, NH

Provider details

NPI number: 1306624358
Entity type: Organization
Primary specialty: Home Infusion AgencyAgencies
Organization subpart: No
Authorized official: Kim Boyle, Coo(914) 512-1793

Specialties & taxonomies

Home Infusion AgencyPrimary251F00000X
Agencies

Practice location

32 London Bridge Rd

Windham, NH 03087-1786

Phone: (612) 367-7806

Approximate (ZIP-level) locationGet directions

More NH providers

Mailing address

32 London Bridge Rd

Windham, NH 03087-1786

Other names (DBA / former)

Former legal business name: Revive IV, LLC

Registry dates

Enumerated: 2023-09-20
Last updated: 2024-07-29
Certified: 2024-07-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.