Organization
BLESSIN ANGEL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BLACKMAN (AGANCY MANAGER)
(773) 563-2299
Entity
Organization
Contact information
Practice address
9006 S ANTHONY AVE, CHICAGO, IL 60617-4147
(773) 563-2299
Mailing address
9006 S ANTHONY AVE, CHICAGO, IL 60617-4147
(773) 563-2299
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3001330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811420268
INDIVIDUAL
IL
Enumeration date
01/02/2018
Last updated
01/02/2018
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