Organization
BLOOM CA INVESTMENTSLLC
Active
Parent organization
BLOOM CA INVESTMENTS LLC
Other names
Rise Wellness Center III
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOOM CA INVESTMENTS LLC
Authorized official
KRISHNA PATEL (CEO)
(847) 370-6328
Entity
Organization
Contact information
Practice address
4809 LOWELL AVE, LA CRESCENTA, CA 91214-1035
(818) 296-7332
Mailing address
550 E DEVON AVE STE 110, ITASCA, IL 60143-2637
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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