Heavenly Home Care, LLC
In Home Supportive Care in Beavercreek, OH. Organization (NPI-2).
NPI number1376182667
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1376182667
- Entity type
- Organization (NPI-2)
- Legal business name
- Heavenly Home Care, LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2020
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
70 Birch Aly Ste 240202Beavercreek, OH 45440-1479
Phone 937-306-6324
Mailing address
70 Birch Aly Ste 240202Beavercreek, OH 45440-1479
Phone 937-306-6324
Authorized official
Karina Gavalcinova
Owner
9373066324
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