Organization
BLOSSOM SUPPORT COORDINATION LLC
Active
Other names
Blossom SCA
Organization subpart
No
Provider details
NPI number
Authorized official
TORI GUILLORY (MEMBER)
(225) 409-7390
Entity
Organization
Contact information
Practice address
9800 AIRLINE HWY STE 107, BATON ROUGE, LA 70816-8000
(225) 409-7390
(225) 250-1514
Mailing address
9800 AIRLINE HWY STE 107, BATON ROUGE, LA 70816-8000
(225) 409-7390
(225) 250-1514
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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