NPI 1366904872

Bloom at Kokomo, LLC

Organisation Assisted Living Facility Kokomo, IN

Practice location

Address: 2800 S Dixon Rd, Kokomo, IN 46902-6403
Phone: (765) 455-2828
Mailing address: 260 E Brown St STE 315, Birmingham, MI 48009-6232

Authorised official

Name: Scott Kantor
Title: Owner
Phone: (248) 642-2914

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1366904872
Entity type: Organization
NPI issued: 3 Apr 2019
Record last updated: 3 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.