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NPI Code Detail

MEDICARE: BLESSED BY BEAUTY HOME HEALTH CARE LLC

MEDICARE: BLESSED BY BEAUTY HOME HEALTH CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1366922593
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLESSED BY BEAUTY HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 3111 S CEDAR CREST CT
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1900
Country : US
Telephone Number : 314-339-4452
Fax Number :
Provider Business Practice Location Address
First Line : 3111 S CEDAR CREST CT
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1900
Country : US
Telephone Number : 816-239-1228
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANTONIO MAC LLOYD
Credential :
Telephone Number : 314-339-4452
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

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Directions to “BLESSED BY BEAUTY HOME HEALTH CARE LLC ” Practice Location

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