Bloom Compassionate Residential Services LLC
NPI #1639033871 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1639033871
- Entity Type
- Organization
- Organization Name
- Bloom Compassionate Residential Services LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 11, 2025
- Last Updated
- Dec 11, 2025
Practice Location
- Address
- 4102 PARAPET CT
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22408-2564
- Phone
- (571) 518-8036
Authorized Official
- Name
- MR. KENNETH MBUEN, PMHNP-BC
- Title
- CEO
- Phone
- (336) 740-6347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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