Organization
BLESSED VALLY LLC
Active
Other names
Blessed vally residence
Organization subpart
No
Provider details
NPI number
Authorized official
VALLY BASTIEN CNA (CEO)
(786) 443-0472
Entity
Organization
Contact information
Practice address
12933 SW 197TH ST, MIAMI, FL 33177-4808
(786) 443-0472
Mailing address
12933 SW 197TH ST, MIAMI, FL 33177-4808
(786) 443-0472
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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