Organization
BLOSSOM & EVOLVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NYCHOLE SHA-REESE WRIGHT (ADMINISTRATOR)
(302) 433-9014
Entity
Organization
Contact information
Practice address
78 BUENA VISTA DR, NEW CASTLE, DE 19720-4660
(302) 525-1499
Mailing address
PO BOX 26502, WILMINGTON, DE 19899-6502
(302) 433-9014
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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