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Organization
BLOSSOM HOME HEALTH CARE AGENCY, INC.
Active
Organization
BLOSSOM HOME HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. I SHANMUGAVELU (SHAREHOLDER)
(734) 981-9146
Entity
Organization
Contact information
Practice address
5820 N LILLEY RD STE 4, CANTON, MI 48187-3686
(734) 981-9146
(734) 981-9170
Mailing address
5820 N LILLEY RD STE 4, CANTON, MI 48187-3686
(734) 981-9146
(734) 981-9170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/27/2009
Last updated
05/26/2011
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