| NPI | 1780088609 |
|---|---|
| Doing Business As | BLOOM REHABILITATIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE S COVINGTON CEO 904-647-1849 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |