Organization
BLOSSOM HAVEN, INC
Active
Other names
Blossom Haven, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. XIAMY LY-YANG (ADMINISTRATOR)
(559) 458-1958
Entity
Organization
Contact information
Practice address
6618 E HARWOOD AVE, FRESNO, CA 93727-6566
(559) 458-1958
(559) 276-1181
Mailing address
6618 E HARWOOD AVE, FRESNO, CA 93727-6566
(559) 458-1958
(559) 276-1181
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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