Blossom Manor LLC
NPI #1548036759 in Ln Humble, Texas
Provider Information
- NPI Number
- 1548036759
- Entity Type
- Organization
- Organization Name
- Blossom Manor LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 29, 2023
- Last Updated
- Aug 11, 2024
Practice Location
Authorized Official
- Name
- CRASHONDA RENA DEWALT
- Title
- REGISTERED NURSE/OWNER
- Phone
- (832) 579-4545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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