Organization
BLOSSOM VIEW NURSING HOME
Active
Other names
Blossom View Outpatient Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARI CARR (MANAGER)
(315) 483-2000
Entity
Organization
Contact information
Practice address
47 MAPLE AVE, SUITE 300, SODUS, NY 14551-1057
(315) 483-2000
(315) 483-6805
Mailing address
47 MAPLE AVE, SUITE 300, SODUS, NY 14551-1057
(315) 483-2000
(315) 483-6805
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5828301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997604
—
NY
01
—
5828301N
LICENSE
NY
Enumeration date
04/01/2011
Last updated
04/01/2011
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