| Blossom Adult Day Center Llc | |
|
31023 Birchlawn St Garden City MI 48135-1995 | |
| (734) 237-4226 | |
| Not Available |
| Full Name | Blossom Adult Day Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 31023 Birchlawn St, Garden City, Michigan |
| Authorized Official Name and Position | Ekoyata Ulinfun (ADMINISTRATOR) |
| Authorized Official Contact | 7342374226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Adult Day Center Llc 31023 Birchlawn St Garden City MI 48135-1995 Ph: (734) 237-4226 | Blossom Adult Day Center Llc 31023 Birchlawn St Garden City MI 48135-1995 Ph: (734) 237-4226 |
| NPI Number | 1922529478 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922529478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801091539 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801091539 (Michigan) | Primary |
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