Provider Demographics
NPI:1790455574
Name:BLESSING UPON BLESSING
Entity Type:Organization
Organization Name:BLESSING UPON BLESSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOMEHEALTH CARE
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCNEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-428-9338
Mailing Address - Street 1:53 MALLARD AVE NE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-4926
Mailing Address - Country:US
Mailing Address - Phone:850-428-9338
Mailing Address - Fax:
Practice Address - Street 1:53 MALLARD AVE NE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-4926
Practice Address - Country:US
Practice Address - Phone:850-428-9338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty