Organization
BLESSED L HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIENVENIDO BOLOBAHA (CEO)
(602) 703-6476
Entity
Organization
Contact information
Practice address
2524 E ROESER RD, PHOENIX, AZ 85040-3626
(602) 703-6476
Mailing address
2524 E ROESER RD, PHOENIX, AZ 85040-3626
(602) 703-6476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
05/26/2022
Last updated
06/01/2022
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