Organization
BLOSSOM CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAILYN STACKER (OWNER)
(314) 941-2631
Entity
Organization
Contact information
Practice address
11477 PINEVIEW CROSSING DR, MARYLAND HTS, MO 63043-5103
(314) 941-2631
Mailing address
11477 PINEVIEW CROSSING DR, MARYLAND HTS, MO 63043-5103
(314) 941-2631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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