Organization
LOTUS BLOSSOM SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE SINGLETON GAY (OWNER)
(850) 408-3717
Entity
Organization
Contact information
Practice address
54 MARIGOLD DR, CRAWFORDVILLE, FL 32327
(850) 408-3717
Mailing address
54 MARIGOLD DR, CRAWFORDVILLE, FL 32327
(850) 408-3717
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
07/31/2024
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