Organization
BLOSSOM HEALTHCARE, INC.
Active
Other names
Blossom Healthcare Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. INNOCENT I OBETA (ADMINISTRATOR)
(281) 822-0061
Entity
Organization
Contact information
Practice address
9894 BISSONNET STREET, SUITE 422, HOUSTON, TX 77036
(281) 822-0061
(281) 822-0060
Mailing address
9894 BISSONNET STREET, SUITE 422, HOUSTON, TX 77036
(281) 822-0061
(281) 822-0060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
000000000
TX
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299945001
—
TX
Enumeration date
09/02/2010
Last updated
05/20/2019
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