Organization
BLOOM AT KOKOMO, LLC
Active
Other names
Bloom at Kokomo
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KANTOR (OWNER)
(248) 642-2914
Entity
Organization
Contact information
Practice address
2800 S DIXON RD, KOKOMO, IN 46902-6403
(765) 455-2828
Mailing address
260 E BROWN ST STE 315, BIRMINGHAM, MI 48009-6232
(248) 642-2914
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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