BLOSSOM RESIDENTIAL LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Prichard, AL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BLOSSOM RESIDENTIAL LLC NPI is 1518385277. The provider is registered as an organization entity type.
The provider's business location address is:
548 MAIN BLVD
PRICHARD, AL
ZIP 36610-048
Phone: (251) 643-8885
The provider's authorized official is Crystal Eirby Black .
The authorized official title is Ceo and has the following contact phone number (251) 643-8885.
The enumeration date for this NPI number is 3/31/2014 and was last updated on 3/31/2014.