Organization
ELDER BLOOM CARE LLC
Active
Organization
ELDER BLOOM CARE LLC
Active
Other names
22-June-2023
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE AMARA (ADMINISTRATOR)
(757) 401-4799
Entity
Organization
Contact information
Practice address
1143 OLD VINTAGE RD, CHESAPEAKE, VA 23322-8875
(757) 401-4799
(332) 253-5293
Mailing address
1143 OLD VINTAGE RD, CHESAPEAKE, VA 23322-8875
(757) 401-4799
(332) 253-5293
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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