NPI 1982356556

Blossom Health Services LLC

Organisation Rehabilitation Practitioner Mesa, AZ

Practice location

Address: 7165 E University Dr STE 154, Mesa, AZ 85207-6412
Phone: (480) 564-1829
Mailing address: 2109 Dune Dr, Las Vegas, NV 89106-1982

Authorised official

Name: Ernest Oliver
Title: Owner
Phone: (702) 773-7723

Registered specialties (3)

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

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Registry record

NPI: 1982356556
Entity type: Organization
NPI issued: 25 Jan 2022
Record last updated: 8 May 2023

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.