| NPI | 1053906388 |
|---|---|
| Former Legal Business Name | HEAVENLY HEALTH CARE CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | LUNIE MADHERE Ap RN 305-397-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |