| Blessing Care Services | |
|
1526 Mark Massengill Dr Raleigh NC 27610-4454 | |
| (919) 231-9969 | |
| Not Available |
| Full Name | Blessing Care Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1526 Mark Massengill Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Paul Ilolibi Medju (OWNER/CEO) |
| Authorized Official Contact | 9196333792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessing Care Services Po Box 14048 Raleigh NC 27620-4048 Ph: (919) 633-3792 | Blessing Care Services 1526 Mark Massengill Dr Raleigh NC 27610-4454 Ph: (919) 231-9969 |
| NPI Number | 1629741715 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Medicare PECOS PAC ID | 1355724634 |
|---|---|
| Medicare Enrollment ID | O20220818003485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629741715 | NPI | - | NPPES |
| Provider Name | Paul Ilolibi Medju |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407214919 PECOS PAC ID: 4082097365 Enrollment ID: I20220818003557 |
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