Healthcare Provider Details

I. General information

NPI: 1750296463
Provider Name (Legal Business Name): BLESSINGS GRACE & GLORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8140 BROUS AVE
PHILADELPHIA PA
19152-3102
US

IV. Provider business mailing address

8140 BROUS AVE
PHILADELPHIA PA
19152-3102
US

V. Phone/Fax

Practice location:
  • Phone: 713-912-0654
  • Fax: 872-309-2063
Mailing address:
  • Phone: 713-912-0654
  • Fax: 872-309-2063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. LOWRANCE MASIH
Title or Position: OWNER
Credential:
Phone: 713-912-0654