Provider Demographics
NPI:1962746669
Name:BLESSING KEEPERS ADULT LIVING LLC
Entity type:Organization
Organization Name:BLESSING KEEPERS ADULT LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-538-0408
Mailing Address - Street 1:3521 KITTERY DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6035
Mailing Address - Country:US
Mailing Address - Phone:404-538-0408
Mailing Address - Fax:770-674-1696
Practice Address - Street 1:3521 KITTERY DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6035
Practice Address - Country:US
Practice Address - Phone:404-538-0408
Practice Address - Fax:770-674-1696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home