Organization
BLOSSOM NURSING AND REHAB CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM J WHITE MBA (AR MANAGER)
(614) 416-2638
Entity
Organization
Contact information
Practice address
109 BLOSSOM LN, SALEM, OH 44460-4284
(330) 337-3033
(330) 337-0916
Mailing address
109 BLOSSOM LN, SALEM, OH 44460-4284
(330) 337-3033
(330) 337-0916
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2209N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084168
—
OH
Enumeration date
06/09/2005
Last updated
08/22/2020
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