| Heavenly Care Llc | |
|
6984 W Cavalier Dr Glendale AZ 85303-4435 | |
| (160) 131-6347 | |
| Not Available |
| Full Name | Heavenly Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6984 W Cavalier Dr, Glendale, Arizona |
| Authorized Official Name and Position | Kanobayita Doris (PRESIDENT) |
| Authorized Official Contact | 6013161347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Care Llc 6513 W Caribbean Ln Glendale AZ 85306-3152 Ph: (601) 316-1347 | Heavenly Care Llc 6984 W Cavalier Dr Glendale AZ 85303-4435 Ph: (160) 131-6347 |
| NPI Number | 1962193938 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962193938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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