MEDICARE: BLESSING & AMAZING HOME HEALTH AGENCY 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	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1568639987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSING & AMAZING HOME HEALTH AGENCY INC

Provider Business Mailing Address
First Line	:	905 GREEN COVE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-1639
Country	:	US
Telephone Number	:	214-566-9082
Fax Number	:	214-376-3909

Provider Business Practice Location Address
First Line	:	905 GREEN COVE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-1639
Country	:	US
Telephone Number	:	214-566-9082
Fax Number	:	214-376-3909

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. SHARON LOVE GUILLORY
Credential	:	LVN
Telephone Number	:	214-566-9082

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	05/16/2008

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