Provider Demographics
NPI:1952539199
Name:BLESS THE LORD INC
Entity Type:Organization
Organization Name:BLESS THE LORD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:COICOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-549-8861
Mailing Address - Street 1:2331 JAMAICA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3550
Mailing Address - Country:US
Mailing Address - Phone:954-981-3216
Mailing Address - Fax:954-981-3216
Practice Address - Street 1:2331 JAMAICA DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3550
Practice Address - Country:US
Practice Address - Phone:954-549-8861
Practice Address - Fax:954-981-3216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLC200280638400175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Single Specialty