Organization
DESERT BLOOM INC.
Active
Organization
DESERT BLOOM INC.
Active
Other names
High Desert Haven
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM THENGUMTHARAYIL MATHEW RCFE ADMINISTRATOR (CEO/ADMINISTRATOR)
(760) 384-8691
Entity
Organization
Contact information
Practice address
1240 COLLEGE HEIGHTS BLVD, RIDGECREST, CA 93555-8066
(760) 371-1989
(760) 371-1708
Mailing address
1240 COLLEGE HEIGHTS BLVD, RIDGECREST, CA 93555-8066
(760) 371-1989
(760) 371-1708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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