OrganizationActive
Bloom Early Intervention Center LLC
NPI 1346096864 · Early Intervention Provider Agency · Burnsville, MN
Provider details
- NPI number
- 1346096864
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Hawo Farah, Owner(952) 212-8614
Specialties & taxonomies
Agencies
Practice location
760 Evergreen Dr Apt 102
Burnsville, MN 55337-4646
Phone: (952) 212-8614
Approximate (ZIP-level) locationGet directions
Mailing address
760 Evergreen Dr Apt 102
Burnsville, MN 55337-4646
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.