# BLOOMHEALTH HOME CARE SERVICES, LLC.

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

## Provider details

- **NPI number:** 1417284258
- **Authorized official:** MRS. OBIAGELI CHRISTIANA EZEANYA RN. (DIRECTOR OF NURSING/ADMINISTRATOR)
- **Authorized official phone:** (313) 729-3970

## Contact information

- **Practice address:** 16250 NORTHLAND DR, SUITE 105, SOUTHFIELD, MI 48075-5205
- **Practice address phone:** (313) 729-3970
- **Mailing address:** 16250 NORTHLAND DR, SUITE 105, SOUTHFIELD, MI 48075-5205
- **Mailing address phone:** (313) 729-3970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 11/16/2009