# BLOSSOM BREEZE HOME CARE, LLC

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

## Provider details

- **NPI number:** 1871380030
- **Authorized official:** HAJA K WILLIAMS (PRESIDENT)
- **Authorized official phone:** (301) 996-1404

## Contact information

- **Practice address:** 11434 BLUESTEM WAY, FREDERICKSBURG, VA 22407-8440
- **Practice address phone:** (301) 996-1404
- **Mailing address:** 11434 BLUESTEM WAY, FREDERICKSBURG, VA 22407-8440
- **Mailing address phone:** (301) 996-1404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 04/22/2025
- **Last updated:** 04/22/2025