# BLOSSOM PRIVATE DUTY CARE LLC

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

## Provider details

- **NPI number:** 1790593523
- **Authorized official:** JENNIFER OLIVIA BAILEY (OWNER)
- **Authorized official phone:** (678) 227-3384

## Contact information

- **Practice address:** 3435 WATERFRONT PL, SNELLVILLE, GA 30039-8594
- **Practice address phone:** (678) 227-3384
- **Practice address fax:** (678) 550-5140
- **Mailing address:** 3435 WATERFRONT PL, SNELLVILLE, GA 30039-8594
- **Mailing address phone:** (678) 227-3384
- **Mailing address fax:** (678) 550-5140

## Taxonomy

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

## Other

- **Enumeration date:** 12/26/2024
- **Last updated:** 07/16/2026