Organization
BLOSSOM LANE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS MARONDERA RN (CEO)
(574) 355-3333
Entity
Organization
Contact information
Practice address
51562 DURANGO CT, SOUTH BEND, IN 46628-8446
(574) 355-3333
Mailing address
51562 DURANGO CT, SOUTH BEND, IN 46628-8446
(574) 355-3333
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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