Provider Demographics
NPI:1295298602
Name:BLESSING SENIOR CARE SPECIALISTS, LLC
Entity type:Organization
Organization Name:BLESSING SENIOR CARE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BELITERE-BLESSING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-423-0220
Mailing Address - Street 1:3806 MARCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3635
Mailing Address - Country:US
Mailing Address - Phone:972-423-0220
Mailing Address - Fax:972-423-0233
Practice Address - Street 1:2809 REGAL RD STE 101
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6309
Practice Address - Country:US
Practice Address - Phone:972-423-0220
Practice Address - Fax:972-423-0233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty