IndividualActive
Blossom Marshall
NPI 1356093223 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lauderhill, FL
Provider details
- NPI number
- 1356093223
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
8520 Nw 46th Ct
Lauderhill, FL 33351-5425
Phone: (954) 572-3135
Approximate (ZIP-level) locationGet directions
Mailing address
3338 Nw 22nd St
Lauderdale Lakes, FL 33311-2714
Registry dates
- Enumerated
- 2022-01-21
- Last updated
- 2022-01-21
- Certified
- 2022-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.