| NPI | 1710443320 |
|---|---|
| Doing Business As | BLOSSOM HAVEN, INC |
| Entity Type | Organization |
| Authorized Contact | XIAMY LY-YANG Administrator 559-458-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |