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Organization

BLISSFUL LLC

Active
Other names
Blissful Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTONY ABDUBA (ADMINISTRATOR)
(404) 998-2729
Entity
Organization

Contact information

Practice address
760 OLD ROSWELL RD, SUITE 115, ROSWELL, GA 30076-2279
(404) 998-2729
(404) 745-8150
Mailing address
760 OLD ROSWELL RD, SUITE 115, ROSWELL, GA 30076-2279
(404) 998-2729
(404) 745-8150

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
060-R-1377
GA
253Z00000X
In Home Supportive Care Agency
Primary
060-R-1377
GA

Other

Enumeration date
10/13/2016
Last updated
10/13/2016
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