Provider Demographics
NPI:1598518870
Name:BLESSING CARE SERVICES, LLC
Entity Type:Organization
Organization Name:BLESSING CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ILOLIBI
Authorized Official - Last Name:MEDJU
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:919-633-3792
Mailing Address - Street 1:101 FOREST DR STE B
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9603
Mailing Address - Country:US
Mailing Address - Phone:919-633-3792
Mailing Address - Fax:
Practice Address - Street 1:101 FOREST DR STE B
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9603
Practice Address - Country:US
Practice Address - Phone:919-633-3792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health