Organization
BLOOMING HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA TITUS (OWNER)
(509) 859-3678
Entity
Organization
Contact information
Practice address
201 OLD STEESE HWY STE 5, FAIRBANKS, AK 99701-3160
(509) 859-3678
Mailing address
PO BOX 74249, FAIRBANKS, AK 99707-4249
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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