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General NPI Number Information
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NPI Number | 1346125697
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Entity Type | Organization
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Legal Business Name | BLISSFUL MEADOWS SENIOR HOME, LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3700 NW 27TH ST
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-1869
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Country | US
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Telephone | 954-470-6760
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 451482
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City | SUNRISE
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State | FL
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Zip | 33345-1482
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Country | US
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Telephone | 954-470-6769
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JEAN BELLOT
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Credential |
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Telephone | 954-470-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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