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
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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