Organization
BLOSSOM HOMECARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SERENA STEWART (OWNER)
(352) 480-6314
Entity
Organization
Contact information
Practice address
1515 E SILVER SPRINGS BLVD STE 141, OCALA, FL 34470-6830
(352) 480-6314
Mailing address
7664 NE 185TH TER, WILLISTON, FL 32696-3881
(352) 480-6314
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/13/2024
Last updated
04/17/2024
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