Organization
BLOSSOM CARE SERVICES
Active
Organization
BLOSSOM CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAORA EMMANUEL (ADMINISTRATOR)
(832) 443-9734
Entity
Organization
Contact information
Practice address
1710 MISTY FAWN LN, FRESNO, TX 77545-9503
(832) 443-9734
Mailing address
20702 SHIFTING SAND LN, RICHMOND, TX 77407-2680
(832) 443-9734
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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