Individual provider · Type 1 NPI
Blossom Marshall
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lauderhill, FL
Practice location
8520 NW 46th Ct
Lauderhill, FL 33351-5425
Mailing address
3338 NW 22nd St
Lauderdale Lakes, FL 33311-2714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Lauderhill
About NPI 1356093223
Blossom Marshall's National Provider Identifier is 1356093223, issued on Jan 21, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lauderhill, FL. The record was last updated on Jan 21, 2022.