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Organization

BLOOM AND BLOSSOM LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA S MOORE ALC (CEO/OWNER)
(334) 546-4145
Entity
Organization

Contact information

Practice address
882 PLANTATION WAY STE C, MONTGOMERY, AL 36117-2217
(334) 546-4145
Mailing address
527 LEGENDS DR, MONTGOMERY, AL 36116-6585
(334) 233-3361

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/25/2020
Last updated
05/25/2020
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