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 |