| NPI | 1508916297 |
|---|---|
| Other Name | BLOSSOM |
| Entity Type | Organization |
| Authorized Contact | FOY ANDERSON Vice President 972-647-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 45G465) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-12-11 |