Organization
BLOSSOM LIGHT CARE LLC
Active
Other names
Blossom Light Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA MUSIBE NYETMOR (ADMINISTRATOR)
(214) 430-0428
Entity
Organization
Contact information
Practice address
310 W PLEASANT RUN RD, LANCASTER, TX 75146-1566
(214) 430-0428
Mailing address
310 W PLEASANT RUN RD, LANCASTER, TX 75146-1566
(214) 430-0428
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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