# BLOOMING LIFE CENTER LLC

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

## Provider details

- **NPI number:** 1790664183
- **Authorized official:** JONATHAN BUTOTO (MANAGER)
- **Authorized official phone:** (515) 770-5368

## Contact information

- **Practice address:** 4125 86TH ST, URBANDALE, IA 50322-2342
- **Practice address phone:** (515) 770-5368
- **Mailing address:** 4125 86TH ST, URBANDALE, IA 50322-2342
- **Mailing address phone:** (515) 770-5368

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2025
- **Last updated:** 08/29/2025