Heavenly Providers Health Care, INC
Home Health in Houston, TX. Organization (NPI-2).
NPI number1861536088
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861536088
- Entity type
- Organization (NPI-2)
- Legal business name
- Heavenly Providers Health Care, INC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 010640 | TX | Yes |
Practice location
8402 Redcliff RdHouston, TX 77064-7949
Phone 713-849-9521
Mailing address
8402 Redcliff RdHouston, TX 77064-7949
Phone 713-849-9521
Authorized official
Gussie Talford
Administrator
7138499521
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