| Organization Name: | BLOSSOM VIEW NURSING HOME, INC. |
| NPI Number: | 1366445074 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAOMI WENTZ (BUSINESS MANAGER) |
| Mailing Address: | 6884 Maple Ave Sodus |
| State: | NY US |
| Postal Code: | 145519303 |
| Phone Number: | 3154839118 |
| Fax Number: | 3154839432 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 08/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 5828301N |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |