Healthcare Provider Details

I. General information

NPI: 1114785128
Provider Name (Legal Business Name): BLISS FAMILY AID LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S 9TH AVE APT D6
DILLON SC
29536-3867
US

IV. Provider business mailing address

326 N MAIN ST
MARION SC
29571-3028
US

V. Phone/Fax

Practice location:
  • Phone: 843-260-1143
  • Fax:
Mailing address:
  • Phone: 843-260-1143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NATASHA BETHEA
Title or Position: OWNER
Credential:
Phone: 843-260-1143