| NPI | 1164251690 |
|---|---|
| Doing Business As | BLOSSOM LIGHT CARE LLC |
| Entity Type | Organization |
| Authorized Contact | LYDIA MUSIBE NYETMOR Administrator 214-430-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |