Healthcare Provider Details
I. General information
NPI: 1710344700
Provider Name (Legal Business Name): BLESS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/21/2016
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1545 FERRIS RD APT B3
COLUMBUS OH
43224-2182
US
IV. Provider business mailing address
1545 FERRIS RD APT B3
COLUMBUS OH
43224-2182
US
V. Phone/Fax
- Phone: 614-772-7910
- Fax:
- Phone: 614-772-7910
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAM
PURI
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-772-7910