Provider Demographics
NPI:1760225502
Name:BLESSING LLC
Entity type:Organization
Organization Name:BLESSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THYTHY
Authorized Official - Middle Name:MUTELA
Authorized Official - Last Name:MUTSHIPAYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-312-1574
Mailing Address - Street 1:305 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-5500
Mailing Address - Country:US
Mailing Address - Phone:207-312-1574
Mailing Address - Fax:
Practice Address - Street 1:305 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5500
Practice Address - Country:US
Practice Address - Phone:207-312-1574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLESSSING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities