Organization
BLOOMING BLOSSOMS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDETTE SHOCKLEY (CEO)
(484) 354-5548
Entity
Organization
Contact information
Practice address
230 SLOAN DR, COATESVILLE, PA 19320-6658
(484) 354-5548
Mailing address
230 SLOAN DR, COATESVILLE, PA 19320-6658
(484) 354-5548
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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