Provider Demographics
NPI:1245775022
Name:DELIVERING BLESSINGS, LLC
Entity Type:Organization
Organization Name:DELIVERING BLESSINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-260-3462
Mailing Address - Street 1:112 W PIPELINE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-5743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:112 W PIPELINE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-5743
Practice Address - Country:US
Practice Address - Phone:469-260-3462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service