| NPI | 1851149850 |
|---|---|
| Doing Business As | BLOSSOM RIDGE HOME HEALTH AGENCY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA L PROFFITT President 337-233-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |