OrganizationActive
Blooming Personal Development, LLC
NPI 1316637689 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL
Provider details
- NPI number
- 1316637689
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Jacqulene Tarver, Owner/ Program Administrator
Practice location
1730 Shadowood Ln Ste 370
Jacksonville, FL 32207-1133
Phone: (904) 536-4318
Mailing address
1730 Shadowood Ln Ste 370
Jacksonville, FL 32207-1133
Registry dates
- Enumerated
- 2023-05-10
- Last updated
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.