National Provider Identifier Database

BLOSSOM SERVICES GROUP LLC
Intellectual & Developmental Disabilities


Contact Information

BLOSSOM SERVICES GROUP LLC
1042 14TH AVE E STE 210
WEST FARGO, ND58078-3363
Phone: 701-541-9884
Fax:
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for BLOSSOM SERVICES GROUP LLC

NPI Number 1104790989
Legal business name
LBN
BLOSSOM SERVICES GROUP LLC
Authorized official SAHR THOMAS - (FOUNDER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/03/2025
Last updated 10/03/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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