Organization
BLOSSOMS ASSISTED LIVING 1, LLC
Active
Parent organization
BLOSSOMS SUPPORT SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOSSOMS SUPPORT SERVICES LLC
Authorized official
MR. PAUL STURDGESS HAYES (ADMINISTRATOR)
(386) 257-2162
Entity
Organization
Contact information
Practice address
1799 SERENO DR, DAVENPORT, FL 33896-8603
(863) 420-1463
Mailing address
1312 MARDRAKE RD, DAYTONA BEACH, FL 32114-5940
(386) 257-2162
(386) 257-2162
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10287
FL
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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