Provider Demographics
NPI:1013776582
Name:JAY'S 3 BLESSINGS
Entity Type:Organization
Organization Name:JAY'S 3 BLESSINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERMILIERN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUROLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-586-3550
Mailing Address - Street 1:1217 MATTIE POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3751
Mailing Address - Country:US
Mailing Address - Phone:321-586-3550
Mailing Address - Fax:
Practice Address - Street 1:1217 MATTIE POINTE BLVD
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3751
Practice Address - Country:US
Practice Address - Phone:321-586-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child