MEDICARE: BLISSFUL HOME HEALTH CARE SERVICES

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1942882485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISSFUL HOME HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	7077 WATERCREST PKWY APT 2133
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-5727
Country	:	US
Telephone Number	:	832-310-9813
Fax Number	:

Provider Business Practice Location Address
First Line	:	7077 WATERCREST PKWY APT 2133
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-5727
Country	:	US
Telephone Number	:	832-310-9813
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HONORINE L TONGWA
Credential	:
Telephone Number	:	832-310-9813

Provider Enumeration Date	:	04/23/2021
Last Update Date	:	04/23/2021

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Directions to “BLISSFUL HOME HEALTH CARE SERVICES ” Practice Location

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