NPI 1639033871
Bloom Compassionate Residential Services LLC
Practice location
- Address
- 4102 Parapet CT, Fredericksburg, VA 22408-2564
- Phone
- (571) 518-8036
- Fax
- (186) 692-9826
Authorised official
- Name
- Kenneth Mbuen
- Title
- Ceo
- Phone
- (336) 740-6347
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1639033871
- Entity type
- Organization
- NPI issued
- 11 Dec 2025
- Record last updated
- 11 Dec 2025
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.