Organization
BLESSED HOME SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJIBE N. ILLA-EL DIK (MANAGER)
(305) 220-8855
Entity
Organization
Contact information
Practice address
630 N 70TH AVE, HOLLYWOOD, FL 33024-7407
(305) 220-8855
Mailing address
630 N 70TH AVE, HOLLYWOOD, FL 33024-7407
(305) 220-8855
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548829401
—
FL
Enumeration date
06/26/2019
Last updated
03/09/2023
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