Organization
BLISSFUL LIVING ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ALLISON (OWNER)
(870) 768-5157
Entity
Organization
Contact information
Practice address
11432 TIVOLI LN APT B, SAINT LOUIS, MO 63146-3567
(870) 768-5157
Mailing address
11432 TIVOLI LN APT B, SAINT LOUIS, MO 63146-3567
(870) 768-5157
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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