| NPI | 1811251309 |
|---|---|
| Doing Business As | BLOSSOMS LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISANTHEA LATOY GENTRY Owner 832-453-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2014-06-21 |