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Blooming Life Center LLC

Home Health in Urbandale, IA. Organization (NPI-2).

NPI number1790664183
StatusActive
Last updated in NPPESAug 29, 2025

Details

NPI
1790664183
Entity type
Organization (NPI-2)
Legal business name
Blooming Life Center LLC
Organization subpart
No
Enumeration date
Aug 29, 2025
Certification date
Aug 29, 2025
Last updated
Aug 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

4125 86th St
Urbandale, IA 50322-2342

Phone 515-770-5368

Mailing address

4125 86th St
Urbandale, IA 50322-2342

Phone 515-770-5368

Authorized official

Jonathan Butoto
Manager
5157705368

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