# FATHER BLESS MY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Father Bless My Clinic (FBMC) LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881437119
- **Authorized official:** DOROTHY IGBONAGWAM DMP (CEO/ OWNER)
- **Authorized official phone:** (678) 698-8120

## Contact information

- **Practice address:** 1300 RIDENOUR BLVD NW, KENNESAW, GA 30152-4501
- **Practice address phone:** (770) 430-1708
- **Mailing address:** 1300 RIDENOUR BLVD NW, KENNESAW, GA 30152-4501
- **Mailing address phone:** (678) 368-7560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 06/14/2024