Provider Demographics
NPI:1194878637
Name:BLESSED ALMS, INC.
Entity type:Organization
Organization Name:BLESSED ALMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP
Authorized Official - Phone:336-997-0971
Mailing Address - Street 1:PO BOX 16527
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27416-0527
Mailing Address - Country:US
Mailing Address - Phone:336-370-0999
Mailing Address - Fax:336-370-0077
Practice Address - Street 1:1221 MAGNOLIA ST
Practice Address - Street 2:SUITE #9
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6113
Practice Address - Country:US
Practice Address - Phone:336-370-0999
Practice Address - Fax:336-370-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301772Medicaid