Organization
BLOSSOM HILLS HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMMACULEE UFITINEMA NTAKIRUTIMANA (CEO)
(602) 317-6939
Entity
Organization
Contact information
Practice address
10440 W PAPAGO ST, TOLLESON, AZ 85353-1358
(602) 317-6937
Mailing address
10440 W PAPAGO ST, TOLLESON, AZ 85353-1358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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