Provider Demographics
NPI:1184368854
Name:BLISSFUL LIVING SENIOR CARE INC
Entity type:Organization
Organization Name:BLISSFUL LIVING SENIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ANUONYE
Authorized Official - Last Name:ANUONYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-298-4722
Mailing Address - Street 1:8901 ROBINSON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-9443
Mailing Address - Country:US
Mailing Address - Phone:198-029-8472
Mailing Address - Fax:
Practice Address - Street 1:8901 ROBINSON CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-9443
Practice Address - Country:US
Practice Address - Phone:980-298-4722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility