| NPI | 1134717556 |
|---|---|
| Former Legal Business Name | BLOSSOM HEALTHCARE SOLUTIONS, LLC |
| Entity Type | Organization |
| Authorized Contact | TERRI RENEE GIST Owner 317-384-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-01-03 |
| Last Update Date | 2021-01-03 |