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Organization
BLOSSOM VIEW NURSING HOME
Active
Organization
BLOSSOM VIEW NURSING HOME
Active
Other names
Blossom View Outpatient Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARI CARR (MANAGER)
(315) 483-2000
Entity
Organization
Contact information
Practice address
47 MAPLE AVE, SUITE 300, SODUS, NY 14551-1057
(315) 483-2000
(315) 483-6805
Mailing address
47 MAPLE AVE, SUITE 300, SODUS, NY 14551-1057
(315) 483-2000
(315) 483-6805
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5828301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997604
—
NY
01
—
5828301N
LICENSE
NY
Enumeration date
04/01/2011
Last updated
04/01/2011
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