Organization
BLOSSOM HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS O AKINLOSOTU (DIRECTOR OF OPERATION)
(206) 228-9990
Entity
Organization
Contact information
Practice address
24860 PACIFIC HWY S, SUITE 102, KENT, WA 98032-5401
(253) 945-8232
Mailing address
24860 PACIFIC HWY S, SUITE 102, KENT, WA 98032-5401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHS.FS.60141967
WA
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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