Organization
BLOSSOMS LIVING CENTER
Active
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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