| NPI | 1881710424 |
|---|---|
| Doing Business As | BLOSSOM HOUSE |
| Entity Type | Organization |
| Authorized Contact | WALTER A LEVONOWICH Vice President And Controller 414-908-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA BH1767) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |