Provider Demographics
NPI:1558403428
Name:HOME OF BLESSING INC.
Entity Type:Organization
Organization Name:HOME OF BLESSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCOISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DURANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-989-3695
Mailing Address - Street 1:5726 SW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3061
Mailing Address - Country:US
Mailing Address - Phone:954-989-3695
Mailing Address - Fax:954-989-3695
Practice Address - Street 1:5726 SW 18TH ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-3061
Practice Address - Country:US
Practice Address - Phone:954-989-3695
Practice Address - Fax:954-989-3695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906010320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities