Healthcare Provider Details

I. General information

NPI: 1962807545
Provider Name (Legal Business Name): BLESSING HEART GROUP HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2014
Last Update Date: 10/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 E SUMMIT ST
APOPKA FL
32712-4154
US

IV. Provider business mailing address

2548 SUMMER GLEN DR
ORLANDO FL
32818-4795
US

V. Phone/Fax

Practice location:
  • Phone: 407-970-7592
  • Fax: 407-298-5870
Mailing address:
  • Phone: 407-970-7592
  • Fax: 407-298-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LEONIE LAFERRIERE
Title or Position: OWNER
Credential:
Phone: 407-970-7592