| NPI | 1366968612 |
|---|---|
| Doing Business As | BLOOM AT ST. PETE |
| Entity Type | Organization |
| Authorized Contact | SCOTT KANTOR President 248-642-2914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-22 |