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Organization
HEAVENLY HOST INC
Active
Organization
HEAVENLY HOST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJI ANTONY (DIRECTOR)
(972) 289-3800
Entity
Organization
Contact information
Practice address
536 S BRYAN BELT LINE RD, MESQUITE, TX 75149-5031
(972) 289-3800
(972) 289-3801
Mailing address
536 S BRYAN BELT LINE RD, MESQUITE, TX 75149-5031
(972) 289-3800
(972) 289-3801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/26/2006
Last updated
07/07/2025
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