Organization
FUNCTIONAL LIFE ACHIEVEMENT INC
Active
Other names
Bloome Care
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KIM (ADMINISTRATOR)
(718) 886-3510
Entity
Organization
Contact information
Practice address
16512 CROCHERON AVE, FLUSHING, NY 11358-2018
(718) 886-3510
Mailing address
16512 CROCHERON AVE, FLUSHING, NY 11358-2018
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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