Organization
BLOOMINGU HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANA BENNETT (PRESIDENT)
(215) 859-3025
Entity
Organization
Contact information
Practice address
2046 W HAGERT ST, PHILADELPHIA, PA 19132-3712
(215) 859-3025
Mailing address
2046 W HAGERT ST, PHILADELPHIA, PA 19132-3712
(215) 859-3025
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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