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Blossom Hill Corporation
Mental Illness Community Based Residential Treatment Facility in Montgomery, Minnesota
NPI 1932240314

Blossom Hill Corporation is a Mental Illness Community Based Residential Treatment Facility based in Montgomery, MN. Blossom Hill Corporation practices in Montgomery, MN. The NPI Number for Blossom Hill Corporation is 1932240314 and holds a License No. 1072342-1-HCBS (Minnesota).

The current practice location address for Blossom Hill Corporation is 100 Oak Ave Sw, Montgomery, MN and can be reached out via phone at 507-364-5312 and via fax at 507-364-5908.

Location: 100 Oak Ave Sw, Montgomery, MN, 56069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932240314
Provider Name
Blossom Hill Corporation
Credential
Provider Entity Type
Organization
Address
100 Oak Ave Sw, Montgomery, MN, 56069
Phone Number
507-364-5312
Fax Number
507-364-5908
Provider Enumeration Date
02/09/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231653100 05 MN
953485000 01 MN MEDICAL ASSISTANCE
institution
Provider Business Practice Location Address Details
Address
100 Oak Ave Sw
City
Montgomery
State
Minnesota
Zip
56069-1243
Phone Number
507-364-5312
Fax Number
507-364-5908
person
Provider Business Mailing Address Details
Address
100 Oak Ave Sw
City
Montgomery
State
Minnesota
Zip
56069-1243
Phone Number
507-364-5312
Fax Number
507-364-5908
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
1044272-1-AFC (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
1072346-1-H (Minnesota)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
1072342-1-HCBS (Minnesota)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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