Desert Bloom Inc.
NPI #1467087007 in Ridgecrest, California
Provider Information
- NPI Number
- 1467087007
- Entity Type
- Organization
- Organization Name
- Desert Bloom Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 4, 2020
- Last Updated
- Mar 4, 2020
Practice Location
- Address
- 1240 COLLEGE HEIGHTS BLVD
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-8066
- Phone
- (760) 371-1989
Authorized Official
- Name
- ABRAHAM THENGUMTHARAYIL MATHEW, RCFE ADMINISTRATOR
- Title
- CEO/ADMINISTRATOR
- Phone
- (760) 384-8691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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