# HEAVENLY COMPANION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073198339
- **Authorized official:** MRS. BETTY JEAN BRISTON (OWNER)
- **Authorized official phone:** (517) 581-0967

## Contact information

- **Practice address:** 5158 BLUESTONE ST, JACKSON, MI 49201-8338
- **Practice address phone:** (517) 581-0967
- **Mailing address:** PO BOX 1204, JACKSON, MI 49204-1204
- **Mailing address phone:** (517) 581-0967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 03/17/2021