Provider Demographics
NPI:1780198697
Name:BLESSING ANGELS LLC
Entity Type:Organization
Organization Name:BLESSING ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACQUES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:561-814-6943
Mailing Address - Street 1:1489 N MILITARY TRL STE 208E
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6057
Mailing Address - Country:US
Mailing Address - Phone:561-814-6943
Mailing Address - Fax:
Practice Address - Street 1:1489 N MILITARY TRL STE 208E
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6057
Practice Address - Country:US
Practice Address - Phone:561-814-6943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care