Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X | |||
In Home Supportive Care |
253Z00000X |
| NPI Number | 1073442786 |
| LBN Legal business name | BLACKBLOOM INC |
| Authorized official | DARCY GISA - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/18/2026 |
| Last updated | 05/18/2026 - About 3 weeks ago |
| Identifiers | n/a |
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