NPI | 1316414287 |
---|---|
Former Legal Business Name | A HEAVENLY HOME, LLC |
Entity Type | Organization |
Authorized Contact | CHARICE V DUCTANT Owner 305-332-5034 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2018-10-30 |
Last Update Date | 2018-10-30 |