Blooming Home Care Services LLC
Home Health in Black Jack, MO. Organization (NPI-2).
NPI number1750115135
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1750115135
- Entity type
- Organization (NPI-2)
- Legal business name
- Blooming Home Care Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
12511 Bielefeld CtBlack Jack, MO 63033-4200
Phone 314-477-1925
Mailing address
12511 Bielefeld CtBlack Jack, MO 63033-4200
Authorized official
Catina Stephenson
Owner
3144771925
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