Provider Demographics
NPI:1992461768
Name:BLESSED HEALTHCARE ASSOCIATES, LLC
Entity type:Organization
Organization Name:BLESSED HEALTHCARE ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DESCHINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RN
Authorized Official - Phone:561-433-4446
Mailing Address - Street 1:4849 LAKE WORTH RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3462
Mailing Address - Country:US
Mailing Address - Phone:561-433-4446
Mailing Address - Fax:561-433-4446
Practice Address - Street 1:220 SW 84TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2729
Practice Address - Country:US
Practice Address - Phone:954-452-0774
Practice Address - Fax:954-424-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service