| Heavenly Care Llc | |
|
3129 W Acapulco Ln Phoenix AZ 85053-4885 | |
| (601) 316-1347 | |
| Not Available |
| Full Name | Heavenly Care Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 3129 W Acapulco Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Kanobayita Doris (DIRECTOR) |
| Authorized Official Contact | 6013161347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Care Llc 3129 W Acapulco Ln Phoenix AZ 85053-4885 Ph: (601) 316-1347 | Heavenly Care Llc 3129 W Acapulco Ln Phoenix AZ 85053-4885 Ph: (601) 316-1347 |
| NPI Number | 1497320386 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497320386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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