Blossom Light Care LLC

NPI #1164251690 in Lancaster, Texas

Provider Information

NPI Number
1164251690
Entity Type
Organization
Organization Name
Blossom Light Care LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Aug 1, 2024
Last Updated
Aug 1, 2024

Practice Location

Address
310 W PLEASANT RUN RD
State
Texas
ZIP Code
75146-1566
Phone
(214) 430-0428

Authorized Official

Name
LYDIA MUSIBE NYETMOR
Title
ADMINISTRATOR
Phone
(214) 430-0428

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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