# CEDARBLOOM, LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ComForCare Home Care-Grapevine/Carrollton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134933146
- **Authorized official:** OLALEYE AUGUSTINE OLOWOOKERE RN (ADMINISTRATOR)
- **Authorized official phone:** (312) 451-6917

## Contact information

- **Practice address:** 4101 WILLIAM D TATE AVE STE 212, GRAPEVINE, TX 76051-5726
- **Practice address phone:** (817) 704-0544
- **Practice address fax:** (214) 945-1009
- **Mailing address:** 706 CYPRESSWOOD LN, MANSFIELD, TX 76063-7294
- **Mailing address phone:** (312) 451-6917
- **Mailing address fax:** (214) 945-1009

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025