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Organization
BLOSSOM AID COMMUNITY SERVICES LLC
Active
Organization
BLOSSOM AID COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA VELAZQUEZ SILVA CBHCMS (OWNER)
(786) 879-0355
Entity
Organization
Contact information
Practice address
7379 NW 173RD DR APT 103, HIALEAH, FL 33015-8429
(786) 879-0355
(786) 953-7451
Mailing address
7379 NW 173RD DR APT 103, HIALEAH, FL 33015-8429
(786) 879-0355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109332700
—
FL
Enumeration date
07/28/2021
Last updated
03/11/2023
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