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Organization

BLOSSOM HOME CAREL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUWIZA MALUNGA (DIRECTOR OF OPERATIONS)
(678) 992-5556
Entity
Organization

Contact information

Practice address
1613 BUNTING FOREST CT, MARIETTA, GA 30064-2949
(678) 992-5556
(678) 992-5556
Mailing address
1613 BUNTING FOREST CT, MARIETTA, GA 30064-2949
(678) 992-5556
(678) 992-5556

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/09/2022
Last updated
08/09/2022
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