MEDICARE: BLESSINGS OF LOVE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor
2	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1174017057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSINGS OF LOVE CORPORATION

Provider Business Mailing Address
First Line	:	1208 WILLOW GLEN DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-2438
Country	:	US
Telephone Number	:	469-396-2532
Fax Number	:	214-594-7649

Provider Business Practice Location Address
First Line	:	1208 WILLOW GLEN DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-2438
Country	:	US
Telephone Number	:	469-396-2532
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHERRIE ANDERSON
Credential	:
Telephone Number	:	469-396-2532

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	10/26/2023

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Directions to “BLESSINGS OF LOVE CORPORATION ” Practice Location

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