Healthcare Provider Details

I. General information

NPI: 1700110970
Provider Name (Legal Business Name): BLESSED AND FAVORED HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 09/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5155 ASHBOROUGH DR
PROVIDENCE FORGE VA
23140-4472
US

IV. Provider business mailing address

5155 ASHBOROUGH DR
PROVIDENCE FORGE VA
23140-4472
US

V. Phone/Fax

Practice location:
  • Phone: 804-966-5073
  • Fax: 804-966-5073
Mailing address:
  • Phone: 804-966-5073
  • Fax: 804-966-5073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN ADLAI MANNING
Title or Position: CEO
Credential:
Phone: 804-966-5073