# BLOSSOM HOME CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043067325
- **Authorized official:** EDUARDO BORGES BORROTO (VICE PRESIDENT)
- **Authorized official phone:** (754) 971-6131

## Contact information

- **Practice address:** 6447 MIAMI LAKES DR E STE 210C, MIAMI LAKES, FL 33014-2760
- **Practice address phone:** (754) 971-6131
- **Mailing address:** 6447 MIAMI LAKES DR E STE 210C, MIAMI LAKES, FL 33014-2760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 05/03/2024