Healthcare Provider Details

I. General information

NPI: 1881506061
Provider Name (Legal Business Name): BLESS TO THE MAX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 GA HIGHWAY 57
GORDON GA
31031-3112
US

IV. Provider business mailing address

5870 GA HIGHWAY 57
GORDON GA
31031-3112
US

V. Phone/Fax

Practice location:
  • Phone: 478-628-2299
  • Fax: 478-628-2299
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: DIANA SENIOR-CROSBY
Title or Position: CLINICAL DIRECTOR
Credential: ANP
Phone: 404-376-4745