# BLOSSOM HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1891332466
- **Authorized official:** KEHINDE OLUFUNMILAYO OYEWOLE (CEO)
- **Authorized official phone:** (804) 585-5424

## Contact information

- **Practice address:** 11312 LUDGATE PLACE, CHESTER, VA 23831
- **Practice address phone:** (804) 585-5424
- **Mailing address:** P.O. BOX 3663, CHESTER, VA 23831-3663
- **Mailing address phone:** (804) 585-5424

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2019
- **Last updated:** 12/03/2019