| NPI | 1376303222 |
|---|---|
| Former Legal Business Name | BLOOM FAMILY HEALTH & WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | EMILY LEE Family Nurse Practitioner 667-367-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-05-10 |