Provider Demographics
NPI:1962807545
Name:BLESSING HEART GROUP HOME LLC
Entity type:Organization
Organization Name:BLESSING HEART GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFERRIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-970-7592
Mailing Address - Street 1:2548 SUMMER GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-4795
Mailing Address - Country:US
Mailing Address - Phone:407-970-7592
Mailing Address - Fax:407-298-5870
Practice Address - Street 1:8 E SUMMIT ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-4154
Practice Address - Country:US
Practice Address - Phone:407-970-7592
Practice Address - Fax:407-298-5870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-25
Last Update Date:2014-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services