| NPI | 1386313419 |
|---|---|
| Doing Business As | LATRELL'S HEAVENLY HOME CARE |
| Entity Type | Organization |
| Authorized Contact | LATRELL DELORES GASKIN Owner 904-731-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2026-04-27 |