| NPI | 1962285965 |
|---|---|
| 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 | 251E00000X Home Health |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |