Bloom to Be

NPI #1053811612 in Las Vegas, Nevada

Provider Information

NPI Number: 1053811612
Entity Type: Organization
Organization Name: Bloom to Be
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 20, 2018
Last Updated: Feb 20, 2018

Practice Location

Address: 8141 DARTMOOR AVE
City: Las Vegas
State: Nevada
ZIP Code: 89129-2152
Phone: (702) 785-1918

Authorized Official

Name: JINEVA MCALISTER
Title: OWNER
Phone: (702) 785-1918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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