Organization
BLOSSOM AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUY LE (ADMINISTRATOR)
(682) 367-9149
Entity
Organization
Contact information
Practice address
209 CHASEMORE LN, ARLINGTON, TX 76018-1084
(682) 367-9149
Mailing address
209 CHASEMORE LN, ARLINGTON, TX 76018-1084
(682) 367-9149
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790301224
—
TX
Enumeration date
06/20/2020
Last updated
07/22/2021
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