Organization
BLESSED HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA ONUORAH RN (ADMINISTRATOR)
(919) 850-2336
Entity
Organization
Contact information
Practice address
3113 EDGETONE DR, RALEIGH, NC 27604-3703
(919) 850-2336
(919) 878-5649
Mailing address
3113 EDGETONE DR, RALEIGH, NC 27604-3703
(919) 850-2336
(919) 878-5649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
MHL-092535
NC
Other
Enumeration date
03/07/2007
Last updated
02/02/2024
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