Bloom of Grace Rehab LLC
NPI #1558861120 in Bloomville, Ohio
Provider Information
- NPI Number
- 1558861120
- Entity Type
- Organization
- Organization Name
- Bloom of Grace Rehab LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Aug 10, 2020
Practice Location
- Address
- 22 CLINTON ST
- City
- Bloomville
- State
- Ohio
- ZIP Code
- 44818-9399
- Phone
- (419) 983-4100
Authorized Official
- Name
- KATHY KAY HUNT
- Title
- ADMINISTRATOR
- Phone
- (419) 332-3378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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