Organization
BLOSSOM HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODA HASSAN (COO)
(703) 980-2653
Entity
Organization
Contact information
Practice address
46191 WESTLAKE DR STE 101, POTOMAC FALLS, VA 20165-5870
(571) 313-0209
(800) 491-6153
Mailing address
46191 WESTLAKE DR STE 101, POTOMAC FALLS, VA 20165-5870
(571) 313-0209
(800) 491-6153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-191931
VA
Other
Enumeration date
09/07/2018
Last updated
07/11/2020
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