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Organization

BLOOM HOSPICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WALEED LAKHANI (ADMINISTRATOR)
(313) 644-2066
Entity
Organization

Contact information

Practice address
5901 CHASE RD STE 210A, DEARBORN, MI 48126-0900
(313) 644-2066
(313) 650-3030
Mailing address
5901 CHASE RD STE 210A, DEARBORN, MI 48126-0900
(313) 644-2066
(313) 650-3030

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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