Provider Demographics
NPI:1447088760
Name:GRACEFUL BLESSINGS
Entity type:Organization
Organization Name:GRACEFUL BLESSINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADIE
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CPHT
Authorized Official - Phone:478-206-0332
Mailing Address - Street 1:PO BOX 1137
Mailing Address - Street 2:
Mailing Address - City:SANDERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31082-1137
Mailing Address - Country:US
Mailing Address - Phone:478-206-0332
Mailing Address - Fax:
Practice Address - Street 1:4081 CYPRESS CREEK RD
Practice Address - Street 2:
Practice Address - City:MILLEN
Practice Address - State:GA
Practice Address - Zip Code:30442-5813
Practice Address - Country:US
Practice Address - Phone:478-206-0332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care