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BLOOM BEHAVIORAL SOLUTIONS NPI 1780088609


NPI Information

NPI: 1780088609
Provider Name: BLOOM BEHAVIORAL SOLUTIONS

Doing Business As: BLOOM REHABILITATIVE SERVICES

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 647-1849
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BLOOM BEHAVIORAL SOLUTIONS is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Jacksonville, FL. BLOOM BEHAVIORAL SOLUTIONS NPI is 1780088609. The provider is registered as an organization entity type.
The provider Is Doing Business As Bloom Rehabilitative Services.

The provider's business location address is:

9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL
ZIP 32256-006
Phone: (904) 647-1849

The provider's authorized official is Genevieve S Covington .
The authorized official title is Ceo and has the following contact phone number (904) 647-1849.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 10/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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