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General NPI Number Information
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NPI Number | 1730375411
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Entity Type | Organization
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Legal Business Name | BLESSED CARE SERVICES, INC.
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/23/2007
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Provider Practice Location Address
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Address Line | 7039 LINCOLN DR
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2541
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Country | US
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Telephone | 215-459-6541
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27512
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City | PHILADELPHIA
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State | PA
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Zip | 19118-0512
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LAVONDA BROOKS
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Credential |
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Telephone | 215-459-6541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | PA
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