# BLOOM AND SHINE SERVICES LLC

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

## Provider details

- **NPI number:** 1639630858
- **Authorized official:** SURAJ BUDATHOKI (OWNER)
- **Authorized official phone:** (603) 227-6789

## Contact information

- **Practice address:** 90 AIRPORT RD STE 27, CONCORD, NH 03301-5326
- **Practice address phone:** (603) 227-6789
- **Mailing address:** 90 AIRPORT RD STE 27, CONCORD, NH 03301-5326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 11/15/2024
