# AG BLOSSOM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AG BLOSSOM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811585219
- **Legal business name:** AG BLOSSOM
- **Authorized official:** ANAB GURHAN (OWNER)
- **Authorized official phone:** (952) 220-3917

## Contact information

- **Practice address:** 1719 CROSSINGS BLVD, SHAKOPEE, MN 55379-8519
- **Practice address phone:** (952) 220-3917
- **Mailing address:** 1719 CROSSINGS BLVD, SHAKOPEE, MN 55379-8519

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2021
- **Last updated:** 01/02/2021