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 |