Heaven Health LLC
Community/Behavioral Health in Pembroke Pines, FL. Organization (NPI-2).
NPI number1164048963
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1164048963
- Entity type
- Organization (NPI-2)
- Legal business name
- Heaven Health LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2020
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1781 Nw 123rd AvePembroke Pines, FL 33026-4383
Phone 561-451-6464
Mailing address
11303 Temple StCooper City, FL 33330-4442
Phone 561-451-6464
Authorized official
Yannet Dieguez Rodriguez
Manager
5614516464
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All 39 Community/Behavioral Health Agency providers in Pembroke Pines · All 6,260 providers in Pembroke Pines
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