Provider Demographics
NPI:1902578495
Name:BLESSED SALES GROUP LLC
Entity Type:Organization
Organization Name:BLESSED SALES GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-580-5440
Mailing Address - Street 1:150 PINE NEEDLES DR
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-8035
Mailing Address - Country:US
Mailing Address - Phone:910-580-5440
Mailing Address - Fax:
Practice Address - Street 1:150 PINE NEEDLES DR
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-8035
Practice Address - Country:US
Practice Address - Phone:910-580-5440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based