Organization
BLOOM COORDINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WARD (MANAGING MEMBER)
(208) 598-8913
Entity
Organization
Contact information
Practice address
5000 E LEWIS LN, NAMPA, ID 83686-9076
(208) 880-4027
Mailing address
PO BOX 3856, NAMPA, ID 83653-3717
(208) 880-4027
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
07/24/2025
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