Organization
BLOOMER HEALTHCARE, LLC
Active
Other names
Dove Healthcare- Bloomer
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY DAVIDSON (CHIEF MANAGER)
(423) 227-5957
Entity
Organization
Contact information
Practice address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 568-9770
Mailing address
7429 ROYAL HARBOUR CIR, OOLTEWAH, TN 37363-9151
(423) 227-5957
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
05/09/2016
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