Organization
BLESSED COMPANION PRIVATE DUTY AND PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAKENDRA JANAE GASKINS AA,CNA,MED TECH (OWNER)
(252) 558-7031
Entity
Organization
Contact information
Practice address
2711B BLUFF VIEW DR, GREENVILLE, NC 27834-7746
(252) 558-7031
Mailing address
2711B BLUFF VIEW DR, GREENVILLE, NC 27834-7746
(252) 558-7031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
452490
NC
251S00000X
Community/Behavioral Health Agency
452490
NC
253Z00000X
In Home Supportive Care Agency
Primary
452490
NC
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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