| NPI | 1912602509 |
|---|---|
| Doing Business As | BLOSSOM CARE COORDINATION |
| Entity Type | Organization |
| Authorized Contact | SHADY COOK Adminstrator 907-598-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |