# BLISSFUL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blissful Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649720673
- **Authorized official:** MR. ANTONY ABDUBA (ADMINISTRATOR)
- **Authorized official phone:** (404) 998-2729

## Contact information

- **Practice address:** 760 OLD ROSWELL RD, SUITE 115, ROSWELL, GA 30076-2279
- **Practice address phone:** (404) 998-2729
- **Practice address fax:** (404) 745-8150
- **Mailing address:** 760 OLD ROSWELL RD, SUITE 115, ROSWELL, GA 30076-2279
- **Mailing address phone:** (404) 998-2729
- **Mailing address fax:** (404) 745-8150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 060-R-1377 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | 060-R-1377 | GA | Yes |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 10/13/2016