Organization
BLOOM HOME ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NKEMAKOLAM MAXWELL IROEGBULAM (MANAGER)
(480) 577-9460
Entity
Organization
Contact information
Practice address
2509 W BLOOMFIELD RD, PHOENIX, AZ 85029-2538
(480) 577-9460
Mailing address
2509 W BLOOMFIELD RD, PHOENIX, AZ 85029-2538
(480) 577-9460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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