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Organization
HEAVENLY COMPANION, LLC
Active
Organization
HEAVENLY COMPANION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY JEAN BRISTON (OWNER)
(517) 581-0967
Entity
Organization
Contact information
Practice address
5158 BLUESTONE ST, JACKSON, MI 49201-8338
(517) 581-0967
Mailing address
PO BOX 1204, JACKSON, MI 49204-1204
(517) 581-0967
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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