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NPI 1881506061

NPI 1881506061 : BLESS TO THE MAX, INC. : GORDON, GA

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General NPI Number Information
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    NPI Number           |    1881506061
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLESS TO THE MAX, INC. 
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Dates
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    Enumeration Date     |    09/21/2026
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    Last Update Date     |    09/22/2026
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Provider Practice Location Address
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    Address Line         |    5870 GA HIGHWAY 57 
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    City                 |    GORDON
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    State                |    GA
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    Zip                  |    31031-3112
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    Country              |    US
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    Telephone            |    478-628-2299
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    Fax                  |    478-628-2299
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Provider Business Mailing Address
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    Address Line         |    5870 GA HIGHWAY 57 
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    City                 |    GORDON
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    State                |    GA
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    Zip                  |    31031-3112
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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    |    CLINICAL DIRECTOR
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    Name                 |     DIANA  SENIOR-CROSBY 
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    Credential           |    ANP
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    Telephone            |    404-376-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home Facility
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    License Number       |    
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    License Number State |    
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