Organization
BLOSSOM GARDEN BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA EMERSON CFM (OWNER)
(501) 815-2482
Entity
Organization
Contact information
Practice address
203 S 26TH ST STE E, ARKADELPHIA, AR 71923-5456
(870) 293-1300
(702) 931-3018
Mailing address
104 W 3RD ST, MALVERN, AR 72104-3714
(501) 267-7071
(501) 267-7073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
08/06/2025
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