Organization
BLOSSOM PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GABRIELA PAU VEITIA (ADMINISTRATOR)
(702) 241-1761
Entity
Organization
Contact information
Practice address
2810 W CHARLESTON BLVD STE 44, LAS VEGAS, NV 89102-1905
(702) 485-1888
Mailing address
2810 W CHARLESTON BLVD STE 44, LAS VEGAS, NV 89102-1905
(702) 485-1888
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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