MEDICARE: BLISSFUL LIVING SENIOR CARE INC

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1184368854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISSFUL LIVING SENIOR CARE INC

Provider Business Mailing Address
First Line	:	8901 ROBINSON CHURCH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-9443
Country	:	US
Telephone Number	:	301-404-5384
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 ROBINSON CHURCH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-9443
Country	:	US
Telephone Number	:	980-298-4722
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. ANGELA ANUONYE ANUONYE
Credential	:
Telephone Number	:	980-298-4722

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	12/26/2025

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