Provider Demographics
NPI:1679938658
Name:ITTY BITTY BLESSINGS
Entity Type:Organization
Organization Name:ITTY BITTY BLESSINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:DUNEENA
Authorized Official - Last Name:JEFFRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-641-9077
Mailing Address - Street 1:13940 CHANDLER PARK DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-3602
Mailing Address - Country:US
Mailing Address - Phone:313-641-9077
Mailing Address - Fax:
Practice Address - Street 1:13940 CHANDLER PARK DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-3602
Practice Address - Country:US
Practice Address - Phone:313-641-9077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care