Organization · Type 2 NPI

Blossom Creeks Assisted Living 2 Inc.

Assisted Living Facility · Fresno, CA

NPI number 1013627405 Active

Practice location

2770 N Burgan Ave
Fresno, CA 93727-8972

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1013627405
Entity type: Organization (Type 2)
Issued: Nov 28, 2022
Last updated: Jul 29, 2024
Status: Active

Other names

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Blossom Creeks Assisted Living 2 · doing business as
Blossom Creeks Assisted Living 2 Inc. · former legal business name

Authorized official

Rajvinder K Samra
CEO
(559) 598-9515

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013627405

Blossom Creeks Assisted Living 2 Inc.'s National Provider Identifier is 1013627405, issued on Nov 28, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fresno, CA. The record was last updated on Jul 29, 2024.