Organization
BLOOM ADULT DAY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN HASSELL (OWNER/CEO)
(706) 221-4324
Entity
Organization
Contact information
Practice address
4360 WARM SPRINGS RD, COLUMBUS, GA 31909-5481
(706) 221-4324
(706) 507-0731
Mailing address
4360 WARM SPRINGS RD, COLUMBUS, GA 31909-5481
(706) 221-4324
(706) 507-0731
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC000207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112349B
—
GA
05
—
512260511A
—
GA
Enumeration date
07/15/2009
Last updated
03/17/2018
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