Organization · NPI-2

Blessed L Home Care LLC

Community/Behavioral Health · Phoenix, AZ

NPI number1386382471

StatusActive

Last updated in NPPESJun 1, 2022

Details

NPI: 1386382471
Entity type: Organization (NPI-2)
Legal business name: Blessed L Home Care LLC
Organization subpart: No
Enumeration date: May 26, 2022
Certification date: Jun 1, 2022
Last updated: Jun 1, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
103K00000X	Behavior Analyst	–	–
174200000X	Meals	–	–
177F00000X	Lodging	–	–
251E00000X	Home Health	–	–
251J00000X	Nursing Care	–	–
253Z00000X	In Home Supportive Care	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
276400000X	Rehabilitation, Substance Use Disorder Unit	–	–

Practice location

2524 E Roeser Rd
Phoenix, AZ 85040-3626

Phone 602-703-6476

Mailing address

2524 E Roeser Rd
Phoenix, AZ 85040-3626

Phone 602-703-6476

Authorized official

Bienvenido Bolobaha
Ceo
6027036476

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