Provider Demographics
NPI:1689491540
Name:ABUNDANT BLISS LLC
Entity type:Organization
Organization Name:ABUNDANT BLISS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUILINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUIRURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-717-1757
Mailing Address - Street 1:16027 53RD AVE E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98446-3847
Mailing Address - Country:US
Mailing Address - Phone:206-717-1757
Mailing Address - Fax:
Practice Address - Street 1:16027 53RD AVE E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98446-3847
Practice Address - Country:US
Practice Address - Phone:206-717-1757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home