Provider Demographics
NPI:1932585502
Name:BLESSINGS ADULT FAMILY CARE HOME
Entity Type:Organization
Organization Name:BLESSINGS ADULT FAMILY CARE HOME
Other - Org Name:JEAN A. VECCHIONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VECCHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:321-877-0165
Mailing Address - Street 1:17 BONAVENTURE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-5354
Mailing Address - Country:US
Mailing Address - Phone:321-877-0165
Mailing Address - Fax:
Practice Address - Street 1:17 BONAVENTURE CT
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5354
Practice Address - Country:US
Practice Address - Phone:321-877-0165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906779311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home