Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Residential LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1518385277

Blossom Residential LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Prichard, Alabama. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

548 Main Blvd
Prichard, AL 36610-4048
Phone: (251) 643-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1518385277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Black — Ceo · (251) 643-8885
NPI enumeratedMarch 31, 2014
Last updated in NPPESMarch 31, 2014
Mailing addressPo Box 774, Mobile, AL 36601-0774

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