Organization
BLESSED ASSISTED LIVING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA BULZ (OWNER)
(904) 725-0977
Entity
Organization
Contact information
Practice address
1417 PALM LN, JACKSONVILLE, FL 32216-3142
(904) 725-0977
Mailing address
1417 PALM LN, JACKSONVILLE, FL 32216-3142
(904) 725-0977
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12020
FL
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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