Blossom Manor Llc

LBN: Blossom Manor Llc
Blossom Manor Llc is an health care organization with primary practice located at 3207 Hayden Springs Ct , Humble TX 77396-3097. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Blossom Manor Llc can be contacted via phone (832) 579-4545, or through Dewalt, Crashonda Rena via phone (832) 579-4545.

Contact Information

Primary practice address
3207 Hayden Springs Ct Humble TX 77396-3097
Phone: (832) 579-4545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dewalt, Crashonda Rena Registered Nurse (RN)
Phone: (832) 579-4545

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1750119939
LBN Legal business name Blossom Manor Llc
DBA Doing business as
Authorized official Dewalt, Crashonda Rena Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2024
Last updated Jul 24th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers