Organization
AK BLISSFUL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN OMAR RAYSIDE (CEO)
(323) 800-8602
Entity
Organization
Contact information
Practice address
1030 N ORANGE GROVE AVE APT 102, WEST HOLLYWOOD, CA 90046-6142
(323) 800-8602
Mailing address
1030 N ORANGE GROVE AVE APT 102, WEST HOLLYWOOD, CA 90046-6142
(323) 800-8602
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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