Provider Demographics
NPI:1326780693
Name:BLESSED HOMES JAMESTOWN ND
Entity Type:Organization
Organization Name:BLESSED HOMES JAMESTOWN ND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-256-3684
Mailing Address - Street 1:806 16 1/2 ST NE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-2733
Mailing Address - Country:US
Mailing Address - Phone:540-256-3684
Mailing Address - Fax:
Practice Address - Street 1:806 16 1/2 ST NE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-2733
Practice Address - Country:US
Practice Address - Phone:540-256-3684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency