| NPI | 1922765924 |
|---|---|
| Other Name | HEAVENS HAVEN HOMECARE |
| Entity Type | Organization |
| Authorized Contact | CIELITA EZELL Provider 251-509-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 177F00000X Lodging |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QV0200X Clinic/Center, VA | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 332U00000X Home Delivered Meals | |
| 342000000X Transportation Network Company | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2022-02-18 |