Organization
BLESSING SSUBI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NELLY NAMUGAMBE (MEMBER)
(818) 942-4603
Entity
Organization
Contact information
Practice address
12429 W MIDWAY AVE, GLENDALE, AZ 85307-1833
(818) 942-4603
Mailing address
5410 QUAKERTOWN AVE APT 107, WOODLAND HILLS, CA 91364-2523
(818) 942-4603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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