Blossom Ridge Home Health Agency, Llc

NPI 1063780096 - Home Health - 251E00000X

NPI Details
NPI 1063780096
Enumeration Date 12/05/2011
Last Updated 12/05/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JANET JANET
Position ADMINISTRATOR
Phone (916) 284-4129
Fax (800) 991-6147
Practice Location
10143 BLOSSOM RIDGE DR
ELK GROVE CA, 95757-2512, US
Phone (916) 284-4129
Fax (800) 991-6147
Business Location
9384 LUFKIN WAY
ELK GROVE CA, 95758-4539, US
Phone (916) 284-4129
Fax (800) 991-6147
Toxanomy
Taxonomy Code 251E00000X
License State California
License Number 347004246
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According to our database, Blossom Ridge Home Health Agency, Llc NPI is 1063780096, taxonomy code is 251E00000X and license number is 347004246, license state is located at California. Blossom Ridge Home Health Agency, Llc physically located at 10143 Blossom Ridge Dr, Elk Grove CA, 95757-2512. NPI Number 1033115704 has the healthcare provider type.

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1063780096 NPI number is provided on an as is basis without warranty of any kind. 1063780096 is maintained by the National Plan & Provider Enumeration System. The contents of Blossom Ridge Home Health Agency, Llc are for informational purposes only.