| NPI | 1649651308 |
|---|---|
| Doing Business As | HEAVEN |
| Entity Type | Organization |
| Authorized Contact | MAVIS LANE President 919-332-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC hc4597) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |