Organization
BLOOMING HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATINA STEPHENSON (OWNER)
(314) 477-1925
Entity
Organization
Contact information
Practice address
12511 BIELEFELD CT, BLACK JACK, MO 63033-4200
(314) 477-1925
Mailing address
12511 BIELEFELD CT, BLACK JACK, MO 63033-4200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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