Organization
BLESSED GROUP HOME
Active
Organization
BLESSED GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRA HERNANDEZ REGISTER NURSE (REGISTERED NURSE)
(786) 314-1267
Entity
Organization
Contact information
Practice address
20928 SW 118TH CT, MIAMI, FL 33177-7023
(786) 314-1267
Mailing address
2181 NW 99TH AVE, PEMBROKE PINES, FL 33024-1416
(786) 314-1267
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
12/17/2021
Last updated
01/26/2022
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