Organization
BLOSSOMS LIVING CENTER
Active
Other names
Blossoms Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISANTHEA LATOY GENTRY (OWNER)
(832) 453-1538
Entity
Organization
Contact information
Practice address
16107 KENSINGTON DR STE 457, SUGAR LAND, TX 77479-4224
(832) 453-1538
Mailing address
16107 KENSINGTON DR STE 457, SUGAR LAND, TX 77479-4224
(832) 453-1538
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/21/2014
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