- Enrollment id
- O20161004002549
- Enrollment state
- PA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821455353
- Multiple npi flag
- N
- Ccn
- 398266
- Associate id
- 2668760836
- Organization name
- PATIENT BLISS HOME CARE AGENCY INC
- Incorporation date
- 2016-01-01
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1 NESHAMINY INTERPLEX DR
- Address line 2
- STE 106
- City
- TREVOSE
- State
- PA
- Zip code
- 190536953