Organization
BLOSSOM EVER-CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLANGE MATCHOUABOU (ADMINISTRATOR)
(214) 487-4007
Entity
Organization
Contact information
Practice address
4224 STONEWALL DR, FORNEY, TX 75126-3010
(214) 487-4007
Mailing address
4224 STONEWALL DR, FORNEY, TX 75126-3010
(214) 487-4007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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