Organization
BLOOM INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA NICOLE MOORE (CEO)
(314) 496-6503
Entity
Organization
Contact information
Practice address
7004 N HANLEY RD, HAZELWOOD, MO 63042-2904
(314) 274-2415
Mailing address
7004 N HANLEY RD, HAZELWOOD, MO 63042-2904
(314) 274-2415
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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