Organization
BLOOM ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSMAN SHIRE (OWNER)
(612) 432-0203
Entity
Organization
Contact information
Practice address
9016 MORGAN AVE S, BLOOMINGTON, MN 55431-2218
(612) 432-0203
(612) 587-1080
Mailing address
9016 MORGAN AVE S, BLOOMINGTON, MN 55431-2218
(612) 587-1080
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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