Healthcare Provider Details
I. General information
NPI: 1720186265
Provider Name (Legal Business Name): BLESSING CORPORATE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 02/04/2021
Certification Date: 02/04/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1102 N COUNTY ROAD 700
WARSAW IL
62379-3011
US
IV. Provider business mailing address
1102 N COUNTY ROAD 700
WARSAW IL
62379-3011
US
V. Phone/Fax
- Phone: 217-256-4100
- Fax: 217-256-3800
- Phone: 217-256-4100
- Fax: 217-256-3800
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIM
MOORE
Title or Position: VP FINANCE / CAO
Credential:
Phone: 217-223-1200