Organization · NPI-2

Blossom Hill LLC

Assisted Living Facility · Woodbury, MN

NPI number1508747395
StatusActive
Last updated in NPPESSep 9, 2025

Details

NPI
1508747395
Entity type
Organization (NPI-2)
Legal business name
Blossom Hill LLC
Organization subpart
No
Enumeration date
Sep 9, 2025
Certification date
Sep 9, 2025
Last updated
Sep 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

6765 Buckingham Rd
Woodbury, MN 55125-2475

Phone 763-285-9666

Mailing address

6765 Buckingham Rd
Woodbury, MN 55125-2475

Phone 763-285-9666

Authorized official

Ahmed M Hussein
Owner / Assisted Living Director
5072139335

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