| NPI | 1114630852 |
|---|---|
| Doing Business As | BLOOM AT HOME |
| Entity Type | Organization |
| Authorized Contact | BARRY K FANCHER CFO 970-482-0198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |